Health Management Systems, Inc. Project Specialist in Sacramento, California

HMS makes the healthcare system work better for everyone. We fight fraud, waste, and abuse so people have access to healthcare—now and in the future. Using innovative technology and powerful data analytics, we help government and commercial payers reduce costs, increase quality, and achieve regulatory compliance. We also help consumers take a more active role in their own health. Each year, we save our clients billions of dollars while helping people live healthier lives. At HMS, you will develop new skills and build your career in a dynamic industry while making a difference in the lives of others.

We are seeking a talented individual for a Project Specialist who is responsible for providing administrative, technical, and clerical support to assigned department.

Essential Responsibilities

  • Depending on the department assigned,

  • Acts as Project Assistant for quality improvement studies.

  • Generates invoices and physician time sheets.

  • Responsible for physician credentialing.

  • Organizes physician recruitment process.

  • Transcribes medical reports from dictation line provided to physician reviewer.

  • Maintains department’s database and generates monthly reports.

  • Responsible for bill audit data entry into a web-based audit tool to include data entry, scanning, uploading, and downloading information.

  • Serves in rotation as backup support to the Reception Area and may be called upon to provide backup support to other departments or projects, as needed.

  • Develops and maintains organized file systems.

  • Serves as a departmental central point of contact for incoming calls and mail.

  • Maintains calendars and schedules appointments.

  • Prepares Request for Expenditures (RFEs).

  • Orders and receives supplies for the department.

  • Coordinates travel arrangements as requested.

  • Types, edits and formats general correspondence.

  • Creates and edits presentation materials.

  • Creates and updates flowcharts and process maps.

  • Creates contract project time lines and track action items for completion.

  • Schedules, plans and coordinates meetings and conference calls with internal and external customers

  • Prepares outgoing mail and bulk mailings.

  • Routes and files correspondence and other records as requested.

  • Assists with the development and packaging of proposals.

  • May coordinate Medical Record Review and Appeals Processes.

  • Maintains current contact information with hospital providers.

Non-Essential Responsibilities:

  • Performs other functions as assigned

Knowledge, Skills and Abilities:

  • Ability to proficiently work with Microsoft Word, Excel and PowerPoint at an advanced level.

  • Average manual dexterity in use of a PC, phone, sorting, filing and other office machines.

  • Ability to use office equipment such as fax machine, printers, conference telephones, switchboard, copy machines, and audio-visual equipment.

  • Demonstrated accurate typing speed of 65 words per minute (WPM).

  • Ability to multi-task and prioritize.

  • Ability to be careful and thorough about detail.

  • Ability to operate using good interpersonal skills and customer service

  • orientation.

  • Demonstrated ability to work with basic mathematical concepts and calculate figures using a calculator or adding machine.

  • Demonstrated ability to manage multiple priorities and multi-level tasks effectively.

Work Conditions and Physical Demands:

  • Primarily sedentary work in a general office environment

  • Ability to communicate and exchange information

  • Ability to comprehend and interpret documents and data

  • Requires occasional standing, walking, lifting, and moving objects (up to 10 lbs.)

  • Requires manual dexterity to use computer, telephone and peripherals

  • May be required to work extended hours for special business needs

  • May be required to travel at least 10% of time based on business needs

Minimum Education:

  • High School Diploma or GED required and Post High School education or training in secretarial, clerical or business-related field

  • And/or

  • Equivalent combination of education and experience.

Minimum Related Work Experience:

  • 5 yrs experience in a related position.

  • Familiarity with medical terminology a plus.

Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Title: Project Specialist

Location: California-Sacramento

Requisition ID: 1800110C

EEO/Minorities/Females/Protected Veterans/Disabled.