Performant Financial Corporation, parent to a number of companies is a leading specialized technology and services company delivering high value-added, technology based, knowledge process outsourcing solutions primarily to entities within government, Healthcare Services verticals. Performant’s services generally comprise core aspects of an organization’s operations and thus are “mission critical” in nature.

Performant Financial Corporation is headquartered in Livermore, California, and employs 960+ people in four offices. We offer a competitive total compensation package, including health benefits, paid time off, 401k and life insurance. Additionally we have EAP, supplemental insurance and a scholarship program. Learn more about us at www.performantcorp.com

To apply: submit your resume to, chall@performantcorp.com including the job title in the subject line. Please confirm your salary expectation.

Final compensation will be dependent upon education, skills and experience. As a Federal Contractor, employment with Performant requires you to be free of defaulted student loans, State or Federal liens and felony convictions. We are proud to be an Equal Opportunity Employer.

Responsibilities:

• Enters personnel actions into the database system (s) (e.g. transfers, promotions, new hires, terms, change of address, training, etc.). Updates records by changing, merging, adding data to files.
• Create and enter new hire records, data changes and terminations into online benefit enrollment systems and carrier websites.
• Reviews and verifies accuracy and completeness of information; follows up to correct or complete data. Compiles, sorts and counts data to be entered.
• Verifies entered data ensuring accuracy, make corrections when applicable. Identifies and reconciles routine and complex data input discrepancies.
• Extract and compile information from databases to produce routine and specialized reports.
• Process and data entry for ID badging (e.g. new hires, transfers, replacements, terms, payroll, etc.).
• Responds to routine questions and concerns from employees.
• Provides assistance and guidance to other data entry staff.
• I-9 verification and data entry into e-verify.
• Back up for the HR Representative when absent, noting high priority activities and forwarding them quickly to appropriate management members.
• Provides general clerical assistance to HR department when needed such as preparing the New Hire packets, Termination packets, Application packets, etc.
• Responding to external requests for employment verifications, etc.
• Will coordinate and follow corporate policies and procedures for the purchase of goods and services.
• Will also be responsible to review and coordinate the procurement of goods, services, supplies and materials in accordance with applicable government regulations and purchasing procedures outlined in the Procurement Systems Procedure Manual.
• Process and submit Corporate Office purchase order and capex forms for approval when a request is submitted or when the established “low” point is reached.
• Develops and maintained process documentation related to company purchasing, capital expenditure and inventory procedures.
• Makes certain that required purchasing documents are completed properly and the terms and conditions of purchase are appropriate.
• Perform other incidental and related duties as required and assigned.

Required Skills and Knowledge:

• Knowledge of basic principles and practices of HR Administration
• Knowledge of relevant systems and procedures
• Ability to work with various computer programs (Microsoft Office Excel, Word)
• Able to handle confidential information with maximum discretion
• Able to work independently and on a team within a fast paced environment
• Able to handle multiple tasks while working under pressure to meet deadlines
• Demonstrate good judgment while balancing project workload, multi-tasking, prioritizing, and meeting deadlines with a sense of urgency.
• Detailed orientated, organized, efficient, and proactive
• Skill in reviewing, proofing and verifying data.
• Good verbal and written communication skills, including good phone etiquette
• Highly dependable
• High level of accountability and flexibility
• Flexible to work outside normal working hours

Education and Experience:

• Associate’s degree or equivalent educational training or experienceBachelor
• 1-3 years of experience as a HR Data Entry Specialist.
• 2 years’ experience in H.R. office or administrative setting

Performant Financial Corporation, parent to a number of companies is a leading specialized technology and services company delivering high value-added, technology based, knowledge process outsourcing solutions primarily to entities within government, Healthcare Services verticals. Performant’s services generally comprise core aspects of an organization’s operations and thus are “mission critical” in nature.

Performant Financial Corporation is headquartered in Livermore, California, and employs 960+ people in four offices. We offer a competitive total compensation package, including health benefits, paid time off, 401k and life insurance. Additionally we have EAP, supplemental insurance and a scholarship program. Learn more about us at www.performantcorp.com

To apply: submit your resume to, chall@performantcorp.com including the job title in the subject line. Please confirm your salary expectation.

Final compensation will be dependent upon education, skills and experience. As a Federal Contractor, employment with Performant requires you to be free of defaulted student loans, State or Federal liens and felony convictions. We are proud to be an Equal Opportunity Employer.

Responsibilities:

• Oversee and direct the new hire Orientation program.
• Prepare reports as necessary or requested.
• Gather and analyze information as needed.
• Directs other HR staff in projects as needed related to recruiting, benefits & compensation, compliance, new hire orientation and HR policies and procedures etc.
• Assist with employee requests/inquires and escalate to HR Manager and or Employee Relations Manager when applicable
• Oversees the administration of employee programs.
• Oversees ER Programs/Issues.
• Oversees and directs Recognition Program.
• Provide assistance to other HR projects as necessary.
• Assist in day to day and special events in HR
• Assist in local reward and recognition activities.
• Perform other incidental and related duties as required and assigned.

Additional Responsibilities: Purchasing and Inventory Control:

• Will coordinate and follow corporate policies and procedures for the purchase of goods and services.
• Review and coordinate the procurement of goods, services, supplies and materials in accordance with applicable government regulations and purchasing procedures outlined in the Procurement Systems Procedure Manual.
• Coordinate the Supplier Diversity Program and serve as the program’s primary liaison with the US Small Business Administration (SBA) as outlined in the Procurement Systems Procedure Manual.
• Submit Corporate Office purchase order and capex forms for approval when a request is submitted or when the established “low” point is reached.
• Develops and maintained process documentation related to company purchasing, capital expenditure and inventory procedures.
• Manages vendor relationships to ensure Performant meets all requirements associated with small business vendor purchases and relationships.
• Makes certain that required purchasing documents are completed properly and the terms and conditions of purchase are appropriate.
• Trains new personnel on purchasing procedures.
• Is responsible to ensure supplier portal processing and coordination of portal maintenance is maintained.
• Perform other incidental and related duties as required and assigned.

Required Skills and Knowledge:

• Excellent analytical skills
• Strong attention to detail and process orientated
• Must be accurate and meet productivity schedules
• Strong written and verbal communication skills
• Organized and able to perform multiple assignments with minimal supervision
• Skill in communicating with outside vendors.
• Customer oriented team player
• Ability to organize and effectively multi-task
• Ability to work with all levels in the organization and corporate office
• Ability to work independently and also as a team member.
• Proficiency in Excel, Word, and PowerPoint applications.

Education and Experience:

• Bachelor’s degree or equivalent experience in HR or related field.
• Experience in a fast paced HR department supporting a growing organization.
• Eight to twelve plus years’ experience in HR generalist role.
• Experience in the administration of benefits and compensation programs and other Human Resources programs.

The Senior Quality Assurance Analyst’s role is to develop and establish quality assurance standards and measures for the information technology services within the organization. This individual will also gather and analyze data in support of business cases, proposed projects, and systems requirements. This will include writing test plans and scripts for tracking defects and fixes in product development, software application development, information systems, and operations systems. The QA Analyst will apply proven analytical and problem-solving skills to help validate IT processes through careful testing in order to maximize the benefit of business investments in IT initiatives

Responsibilities:

• Create and execute test plans / test cases that will determine optimal performance according to the specifications.
• Perform performance, black box, load and regression testing.
• Builds test platforms and test beds.
• Maintain library of test scripts and sql queries for future regression testing.
• Validate applications connectivity, functionality, performance and technical specification.
• Regression testing for existing application with upgraded environments. (Linux Red Hat, Informix 11.7x & Windows 7)
• Communicate progress, test results and other relevant information to project manager.
• Perform other incidental and related duties as required and assigned.

Required Skills and Knowledge:

• Hands-on knowledge of SQL, ability to write complex queries, experience working with large scale RDBMS (preferably Informix and MS Sql)
• Working knowledge of MS Windows, Linux & UNIX.
• Excellent oral and written communication skills.

Education and Experience:

• College diploma or university degree in software engineering, computer science, or equivalent work experience.
• 4-5 Years’ experience in Software Quality Testing.
• 1-2 Years’ experience testing Client Server and 3-Tier applications.
• 1-2 Years’ experience testing applications within Citrix environment.

Responsibilities:

The Revenue Integrity Analyst is responsible for conducting complex reconciliation activities related to Medicare payments. This position is responsible for analyzing, researching and resolving moderate to complex issues and variances arising from Medicare overpayment/underpayment, appeal and/or other adjustments related to providers. Validating appropriate processing and conducting downstream impact analysis of payments posted, reversed, adjusted and appeals as an essential function of this position. Other responsibilities include and keeping current with CMS contractual requirements and regulations.

• Review, research and reconcile a high volume of transactions, identifying causes of discrepancies & identify resolutions, document issues & report proposed resolutions to management
• Complete from start to finish all invoice processing and reconciliation
• Interface and communicate with technical departments regarding reconciliation of a high volume of transactions and data
• Assess process inefficiencies; provide detailed input as to the approach & programming required to enhance & improve process, capture appropriate data
• Provide analytical audit assistance with CMS audits, supporting action plans for process improvements as identified by management
• Complete all tasks & projects assigned with both speed and accuracy
• Ability to handle constantly changing situations and work within a diverse group
• Perform ongoing quality assurance functions and ability to recognize interdependencies
• Provide recommendations to management on work-flow and processing improvements for efficiency and accuracy
• Complete accurately & efficiently any and all tasks as assigned by department management
• Exhibit strong & professional customer service skills and ability to support & interact with internal departments and external vendors or clients to obtain critical research information for resolution of claim payments and/or appeals data.
• Perform other incidental and related duties as required and assigned

Required Skills and Knowledge:

• Working knowledge of current Medicare and/or claim payment processing
• Illustrate strong reconciliation techniques
• Excellent knowledge of data entry practices, principles, methods & techniques
• Must demonstrate proven analytical and organizational skills
• Must demonstrate strong written & interpersonal communication skills
• Ability to easily flex between competing priorities in workload or change in deadlines
• High level of ability to multi-task in handling multiple projects
• Demonstrate advanced MS Excel, Access and Word capabilities
• Ability to maintain strict confidentiality and secure approach in handling of data
• Able to work efficiently independently and also within team environment
• Minimal traveling required as needed for business purposes

Education and Experience:

• Must have experience with Medicare & CMS or within a Medicare managed healthcare plan; claim billings.
• Hands on experience within Medicare & CMS invoicing, claims and/or provider payment processing
• 7+ years demonstrated work experience in a complex invoice/billing environment, health insurance billing, invoice and/or reconciliation environment. Accounts Receivable reconciliation also a plus

Position Responsibilities:

The manager/sr manager is a key member of the HCS organization and is responsible to building a world class healthcare services operation. The role represents the team on supporting audit delivery for HCS. The role also supports revenue management oversight and adjusted claims monitoring

Key

• Works with audit delivery team and oversees the customer service operation for provider calls
• Create management reports and ensure accuracy of sub-contractor reconciliations
• Lead on Sub-contractor engagement management and monitoring
• Manage the Doc Prep and Records Scanning operation
• Ops Performance Monitoring and trending

Leadership

• Builds HCS value and credibility with internal and external clients
• Inspires trust and credibility- delivers on commitments, audit subject matter expert.
• New client and provider support as needed
• Mentor and coach team members
• Completes client requests for research and inquiries in a timely manner
• Other duties as assigned
• Perform other incidental and related duties as required and assigned.

Required Skills and Knowledge

• In depth knowledge of claims, claims adjudication, medical review audits
• 10+years of healthcare operations management , healthcare customer service, claims audit and/or processing.
• The experience in the various areas can be a combined 10 years' experience, but at least 3-5 years in each area.
• Strong organizational management skills
• Strong analytical skills
• Ability to prioritize and work on multiple activities at one time
• Strong communication and presentation skills with internal clients, external partners and team members
• Experience working on matrixed teams, consulting firms and external resources
• Ability to work in a dynamic, ambiguous and newly forming organization
• Must know powerpoint, excel,access and MS Project

Education and Experience

• Claims Cost Containment a plus
• Prior experience in the Healthcare industry a plus
• Fiscal Intermediary experience a plus
• Government experience a plus
• BA or BS in Business Administration
• MBA or MHA a plus
• CISA or CPA a plus

**RN with coding certifications a plus

Position Focus

• Provide accurate audits and quality work to substantiate any 3rd party or Provider audit.
• Drive revenue growth with timely and accurate audits.

Essential Job Duties

• Involvement and oversight at all levels of the audit process:
• Ensure that all Medicare, Medicaid or Commercial Health plan laws, rules, and regulation are applied appropriately
• Participate in the identification and submission of Major Issues to clients
• Support medical review guidelines
• Obtain expert opinion from available medical specialty consultants, as necessary
• Ensure quality and continuous improvement
• Support the appeals process
• Participate in provider outreach and communication (as needed)
• Interact with providers during the discussion period
• Work in partnership with CMS, CMD colleagues, and other Medicare contractors on improving Medicare policies, provider education, and system edits
• Keep abreast of medical practice, changes in technology, and regulatory issues that may affect clients
• Oversee work of healthcare audit subcontractor auditors as required
• Oversee QA of audit team and subcontractor auditors
• Interface with and support the Medical Directors
• Implement the quality plan
• Hire appropriate audit staff based on issues to be audited
• Oversee training of staff
• Develop and document audit team processes and procedures
• Work with the project team to minimize appeals
• Report pertinent information to the Project Director as needed
• Report system issues to the IT Manager if they occur
• Suggest ideas that may improve productivity.

Minimum Qualifications

• Excellent written and verbal communication skills
• Must be able to establish and maintain excellent relationships with 3rd party contractors and clients
• Strong knowledge of Medicare Part A, B,C & D regulations and policies
• Strong knowledge of various Medicare contractors and what they do
• Quality training and experience utilizing a quality program
• Ability to prioritize and plan staff work, as frequently as a once a day, to accomplish program goals
• Ability to inspire and work with a multi-location team in multiple time zones
• Ability to plan and increase staff as the project expands
• Ability to maximize operational efficiency while maintaining quality

Experience

• 10 years management experience either as a medical review manager supervising RN's, coders or other auditors
• Experience managing a staff of at least 15-20

Education

• Registered nurse (BSN preferred) with coding certification with 5 -10 years experience
• CCS or other coding certification(s)
• CIA or other auditing certifications a plus

Perform medical chart reviews for Medicare compliance, QA audit reviews, and assist in new audit issues, interpret complex cases with multiple variables, and assist in strategic planning, preparation, and delivery of outreach materials.

• An active, unrestricted RN license in good standing
• 3 years diversified nursing experience providing direct care in areas such as inpatient or outpatient settings, Rehab, SNF, etc
• In-depth knowledge of ICD-9, DRG, CPT coding, HCPCS, revenue codes, coding clinic, and medical terminology
• Prefer Nurses with some coding credentials, CPC, RHIT, etc

Perform retrospective claim audit reviews for medical necessity, DRG, and clinical validation in both inpatient and outpatient settings.

• An active, unrestricted RN license in good standing
• 3 years diversified nursing experience providing direct care in areas such as inpatient or outpatient settings, SNF, Rehab, etc
• Active Certification as an RHIA, CCS, RHIT, CPC, CPC-H, CPC-P, or CCS-P with minimum 3 years experience with impatient DRG coding
• In-depth knowledge of ICD-9, DRG, CPT coding, HCPCS, revenue codes, coding clinic, and medical terminology
• Experience performing utilization reviews
• Knowledge of CMS rules and regulations

This position will be responsible for leading and supervision all assigned nursing clinical staff. This position main focus will be managing productivity and implementing roles to increase growth in each clinical area. This position joins a team of experience medical auditors and coders performing retrospective audits on Medicare claims. The environment is dynamic and fast paced with a multi-location team. The successful candidate will be a team player able to collaborate with a variety of different entities to solve problems and generate solutions.

Responsibilities:

• Supervise all assigned nursing clinical staff
• Manage productivity for all nursing clinical areas
• Attends conference call and all meetings as requested
• Perform annual written evaluation and periodic ad hoc evaluation of all designated clinical staff
• Assignment, oversight and organization of responsibility of designated clinical staff
• Audit medical claims for medical appropriate services provided in both inpatient and outpatient settings
• Apply Medicare claims for medically appropriate services provided in both inpatient and outpatient settings
• Apply appropriate Medicare care policy and rules
• Document all finding and reference the appropriate policy ad rules
• Generate letters articulating audit findings
• Support finding during the appeals process if requested
• Work collaborate with audit team to identify and obtain approval for particular vulnerabilities and /or cases subject to potential abuse
• Work in partnership with CMS, SMD colleagues, and other Medicare contractors on improving Medicare policies, provider education, and systems edits
• Collaborate policies and procedures pertinent to the RAC/Recovery Audit Contractor review process
• Keep abreast of medical practice, changes in technology, and regulatory issues that may affect the RAC contract
• Work with the project team to minimize appeals
• Suggest ideas that may improve work flow
• Assist with QA functions
• Assist with training review team members
• Interface with and support the Medical Director
• Cross train in all clinical department/areas
• Perform other incidental and related duties as required and assigned

Required Skills and Knowledge:

• Strong preference for experience performing utilization review for an insurance company, Tricare, MAC or organizations performing similar functions.
• Knowledge of the Medicare program, particularly the coverage and payment rules
• Ability to maintain high quality work while meeting strict deadlines.
• Excellent written and verbal communication skills
• Not currently sanctioned or excluded from the Medicare program by the OIG
• Ability to manage multiple tasks including desk audits and claims review.
• Must be able to independently used standard office computer technology ( e.g. emails, telephone, copiers, etc.)
• Must be able to manage multiple assignments effectively, create documentation outlining findings and /or documentation suggestions, organize and prioritize workload, problem solve, work independently and with team members.
• Coding certification is a plus.
• Strong knowledge of medical documentation
• Courteous, professional and respectful attitude.
• Knowledge of CMS rules and regulation.
• Flexibility to handle and any non-standard situations that may arise.
• Must be able to multi task.

Education and Experience:

• Minimum five years diversified nursing experience providing direct care in an inpatient or outpatient setting
• One or more years experience performing medical records review
• One or more years experience in health care claims that demonstrates expertise in ICD-( coding, HCPS/CPT coding, DRG and Medicare claims data such as for medical billing experience for an insurance company or hospital required.
• Experienced in supervisory or leadership role
• Experience with utilization management systems or clinical decision making tools such as Medical Coverage Guideline (MCG) or InterQual
• Experience with ICD-9, CPT-4, or HCPCS coding
• Active unrestricted RN License in good standing
• Experience in a supervisory and leadership role
• Experience using a case management system/tools and document findings

Performant is seeking and individual who wants to have an impact. You will be part of a small team focused on our growing Health Care business. If are seeking an opportunity to grow your skills and advance your career we should talk.

Responsibilities:

• Support, monitor, configure, implement, and document current local and wide area networks (including both physical and logical structures).
• Support, monitor, configure, implement, and document current Windows and Linux infrastructures (including both physical and virtual).
• Assist in the testing, evaluation, of new and emerging network technologies.
• Participate as a member of the Infrastructure Systems team in projects, on-going support and operating system release management activities of Windows and Linux Server and virtual environments.
• Experience as a member of a tier-3 engineering/support team providing timely diagnosis, trouble-shooting, and resolution to complex, high visibility problem incidents related to Windows Server and VMware
• Work with the Security Group to create and maintain a secure infrastructure.
• Provide analysis of network configuration and related documentation. Maintain system for network alerting and events monitoring to provide quick response and proactively address issues
• Performs other incidental and related duties as required and assigned.
• Audit systems for security/best practices/compliancy.

Required Skills and Knowledge:

• Strong understanding of infrastructure fundamentals: OSI Model, IP services (DNS, DHCP, WINS, IPSEC, IPv6), PKI & networking concepts (switching-routing-firewall).
• Strong network architecture experience.
• Experience with LAN/WAN network support and troubleshooting.
• Strong understanding with Active Directory operations (DC*s, GPO*s, OU*s, DFS).
• Windows Server Operating System Experience. Both Windows 2008 and Windows 2003 required. - Administration of the following technologies will need to be performed: Active Directory, DNS, DHCP, Distributed File Systems, IIS 6.0/7.0/7.5
• Experience with storage concepts and technologies (RAID, SAN, NAS) – NetApp and Data Domain preferred.
• Hands-on experience and understanding of design and operational concepts related to virtual technologies
• Experience with infrastructure upgrades, migrations, backup, restore, DR, patching, anti-virus, systems management, monitoring, security and reporting.
• Ability to accurately scope work, provide detailed status reports & timely escalations.
• Ability to build positive working relationships with peers, cross-functional remotely-sited global teams, external vendors and management personnel.
• Red Hat Enterprise Linux (5, 6) experience. Administration of Apache, JBOSS, Satellite, IPA.
• Hands-on experience with Linux installation, patching, troubleshooting, syncing accounts, shell scripting, shell operations, sudo operations, and LVM.
• Understanding of server hardening practices (NIST, CIS, DISA)

Education and Experience:

• Bachelor’s Degree in Computer Science or equivalent in related field
• 10 years Windows/Linux operating system engineering and networking engineering experience

One of the following certifications is required: Microsoft MCSE 2003/2008, RHCE or RHCSA, Juniper JNCIE or JNCIP, Cisco CCNA or CCNP.

Performant Financial Corporation (Performant) is a leading provider of technology workflow management solutions. With over 35 years of experience, innovation and leadership, Performant helps clients identify and recover delinquent or defaulted assets and improper payments associated with defaulted student loans, improper healthcare payments, delinquent state taxes, and other non-tax portfolios.
Today, Performant manages more than $300 billion in portfolio assets across diversified industries. The company’s audit and recovery capabilities are differentiated by its unique technology platform combined with robust data analytics and proprietary workflow management solutions, which enables the company to recognize tremendous value and financial returns for its customers.
Performant is headquartered in Livermore, California, with branch offices in Lathrop, California; Grants Pass, Oregon; San Angelo, Texas; and Miami Lakes, Florida.

Visit www.performantcorp.com for additional information.

Specialties:

Audit Recovery – healthcare, fraud, waste and abuse, student loans, taxes and non-tax portfolios; Data Analytics; Risk Management; Cost Containment
To apply: submit your resume to, nkhan@performantcorp.com including the job title in the subject line.
Please confirm your salary expectation.
Final compensation will be dependent upon education, skills and experience. As a Federal Contractor, employment with Performant requires you to be free of defaulted student loans, State or Federal liens and felony convictions. We are proud to be an Equal Opportunity Employer.

• Record fixed assets additions, retirements, depreciation/amortization and related tax entries. The position will administer the fixed asset module, including maintenance, assigning FA numbers, researching exceptions;
• This position will serve as a subject matter expert on fixed assets, including tax related requirements;
• Help the Assistant Controller in analyzing and computing property taxes related to fixed assets;
• Assist in tracking lease commitments and deferred rent schedules;
• Record prepaid items and related amortization. Maintain the prepayment sub-ledger which includes roll-forward and waterfall schedule;
• Prepare and upload various general accounting month and quarter-end journal entries, including accruals, trust accounting entries, revenue entries and miscellaneous adjustments as required;
• Key participant in the closing of the financials.
• Prepare monthly account reconciliations;
• Prepare analysis of balance sheet accounts for management review;
• Perform other incidental and related duties as required and assigned. This includes administration of journal entries binders for all entities.
• Ad-hoc or special projects as assigned

Required Skills and Knowledge:

• Working knowledge of generally accepted accounting principles
• Strong attention to detail and also able to have a “big picture” perspective
• Strong Microsoft excel skills, including v-lookup and pivot tables.
• Strong systems skills, including experience working with financial and reporting packages/query tools (Access, Open Systems Accounting Software)
• Strong problem solving and analytical skills.
• Ability to work with a wide variety of people with different personalities and backgrounds
• Strong communication, presentation and interpersonal skills
• Ability to work independently and under pressure to meet deadlines

Education and Experience:

• Bachelor’s degree
• 3+ years of experience in accounting.

Performant Financial Corporation (Performant) is a leading provider of technology workflow management solutions. With over 35 years of experience, innovation and leadership, Performant helps clients identify and recover delinquent or defaulted assets and improper payments associated with defaulted student loans, improper healthcare payments, delinquent state taxes, and other non-tax portfolios.

Today, Performant manages more than $300 billion in portfolio assets across diversified industries. The company’s audit and recovery capabilities are differentiated by its unique technology platform combined with robust data analytics and proprietary workflow management solutions, which enables the company to recognize tremendous value and financial returns for its customers.

Performant is headquartered in Livermore, California, with branch offices in Lathrop, California; Grants Pass, Oregon; San Angelo, Texas; and Miami Lakes, Florida.

Visit www.performantcorp.com for additional information.

Specialties:

Audit Recovery – healthcare, fraud, waste and abuse, student loans, taxes and non-tax portfolios; Data Analytics; Risk Management; Cost Containment
To apply: submit your resume to, nkhan@performantcorp.com including the job title in the subject line.
Please confirm your salary expectation.
Final compensation will be dependent upon education, skills and experience. As a Federal Contractor, employment with Performant requires you to be free of defaulted student loans, State or Federal liens and felony convictions. We are proud to be an Equal Opportunity Employer.

The Trust Accounting Manager is responsible for all areas relating to Client Trust Accounting and financial reporting. This position will be responsible for ongoing development and maintenance of sound internal controls, accounting principles, practices and procedures to ensure accurate and timely processing of client billing statements, remittances, and files. The Trust Accounting Manager currently supervises 1 Team Leader, 1 Accountant and 6 Trust Accounting Clerks and is responsible for managing the team to ensure that the work is properly allocated and completed in a timely and accurate manner. The Trust Accounting Manager will provide leadership & oversight to the day-to-day operational accounting staff. This position is hands-on role and addresses tight deadlines and a multitude of client account activities including general ledger, monthly financial closing & reporting, year-end audits and external audits as required per contractual or licensing compliance. Current supervisory experience and an efficiently strong work ethic are required for consideration. The successful candidate will share our company’s vision of creating and maintaining an environment in which all managers and associates are encouraged to be leaders who embrace the responsibility and the accountability for both customers and associated revenue growth. We can offer you an exciting, fast-paced working environment, a culture of mutual respect and teamwork and the opportunity to play a vital role in our growth. If you are attracted to joining an organization where every individual's contribution counts and where your talent will impact on our future, please apply for this position. It starts with you.

• Accomplishes Trust Accounting human resource objectives by interviewing, hiring, training, assigning, scheduling, coaching, counseling, and disciplining employees; communicating job expectations; planning, monitoring, appraising, and reviewing job contributions; enforcing policies and procedures.
• Achieves Trust Accounting operational objectives by contributing accounting information and recommendations to strategic plans and reviews; preparing and completing action plans; execution of production, productivity, quality, and customer-service standards; resolving problems; completing audits; determining core systemic areas for improvements & providing requirements for execution of improvements; implementing change.
• Partners & guides other departments by researching and interpreting Trust Accounting policy/procedure; applying observations and recommendations to operational issues to department management.
• Provide exemplary customer service to both internal & external clients.
• Develop, communicate, and implement viable business strategies.
• Ensure team members are aware of any relevant situation regarding their client portfolios.
• Understanding and documenting business processes and workflows and their relationships to current and future software solutions.
• Defining use cases to articulate and define new functional software needs and requirements.
• Analyzing the impact of change requests from internal clients and/or external clients.
• Creating and/or reviewing manuals, procedures, and related user documentation; ensuring documentation is targeted to the appropriate audience and is completed to reflect current practice.
• Ability to define problems, collection of data, establishes facts, and draws valid conclusions and communicates professionally and effectively to key stakeholders and/or users.
• Other duties and responsibilities as assigned by department management.

Required Skills and Knowledge:

• Knowledgeable and demonstrated strong skill set within:
• Contractual Compliance, Accounting, Managing Processes, Management Proficiency, Coordination, Motivating Others, Attention to Detail.
• Ability to effectively coach employees and coordinate multiple projects simultaneously, managing time and resources to ensure work is completed efficiently and within established timeframes.
• Effective organizational and analytical skills with attention to detail.
• Strong problem-solving, negotiation & follow-up skills.
• Strong oral and written communication skills.
• Ability to establish and maintain effective work relationships both internally and externally.
• Analytical skills for transforming defined business needs into software requirements
• Must excel in a fast paced environment and demonstrate strong multi-tasking abilities.
• Easily adapts to new software programs & strong computer skills.

Education and Experience:

• Bachelor’s degree and/or 5- 10 years related work experience in the collections, accounting/finance and banking
• 7-10 years’ experience in supervisory/management position(s).
• Superior spreadsheets skills and a strong working knowledge of Microsoft Excel. Access database knowledge also helpful.
• Demonstrated knowledge of accounting practices.

Responsibilities:

• Create detail design and implementation specifications
• Writes application code, and performs unit and functional testing in order to provide technical solutions for the business.
• Participates in technology discussions, and suggests improvements to technology and practices.
• Be a hands-on team member.
• Assist with product design activities that may require some research and analysis.
• Perform design, implementation and maintenance of relatively simpler to complex modules. Subsystems.
• Participate in product design meetings.
• Document design in functional specification document.
• Develop and document unit test plan.
• Perform bug verification, release testing, and beta support for assigned products.
• Research problem / issues discovered by QA, Tech Support, Help Desk, End-Users and develop solutions to the problem / issues.
• Conduct unit testing and integration testing for functionality and performance.
• Able to architect simple projects: Design and implementation in order to meet project objectives.
• Learn new technology and develop tools to remain abreast of current technology.
• Additional responsibilities may be assigned, as required, by management.
• Perform other incidental and related duties as required and assigned.

Required Skills and Knowledge:

• Expert in best practices, processes, and tools required to develop enterprise-level Java-based applications.
• Deep experience in designing and developing enterprise-level Java-based applications.
• Proficiency in Java Core stack
• Java/CDI/JSF2/Hibernate/JPA/SQL/JUnit
• 6+years of software development experience including experience with code repositories and multi-developer coding environments.
• Java development and an understanding of Java EE design patterns and best practices
• 2+ years of experience with persistence models like DAO or Hibernate
• Strong proficiency in SQL and relational database technology - the ability to write and understand complex queries
• 1+ years of experience with EJB 3.x, strong understanding of EJB transaction management and Jboss transactions.
• 1+ years’ experience with Web Services and understanding of ESB.
• Object-oriented analysis, design and coding.
• Thorough hands-on experience with security technologies or packages (Digital Certificates, LDAP,PKI, etc)
• Linux/Unix commands and basic administration
• Java-based enterprise applications cross-cutting concerns design and development.
• Thorough hands-on experience with Java EE and Web Services
• Strong understanding of QA and Release Management process.
• Experience administering and tuning web and application servers (JBOSS, Apache, etc.) desirable.
• High-level understanding of software systems design and technical concepts.
• Strong understanding of various SDLC methodologies.
• Experience working with offshore development.
• Demonstrable ability to deliver projects on time, with high quality, and within budget.
• Excellent multitasking and time management skills with consistent attention to detail.
• Strong analytical and problem solving skills.
• Ability to clearly write technical specifications.
• Strong written and verbal communication skills. Ability to effectively communicate technical issues and solutions to all levels of business and external vendors.
• Open-minded and passionate about learning new technologies.
• A team player who enjoys collaborating with technical and non-technical colleagues at all levels of the business.

Education and Experience:

• Minimum 6+ years experience in a software development including experience with code repositories and multi-developer coding environments.
• 2+ years of experience with persistence models like DAO or Hibernate
• 1+ years experience with Web Services and understanding of ESB
• 4 year degree in business, software engineering / computer science or equivalent job-related experience.
• Master’s degree preferred

Responsibilities:

• Create detail design and implementation specifications
• Writes application code, and performs unit and functional testing in order to provide technical solutions for the business.
• Participates in technology discussions, and suggests improvements to technology and practices.
• Be a hands-on team member.
• Responsible for designing and developing service oriented solution logic as services.
• Writes application code, and performs unit and functional testing in order to provide technical solutions for the business.
• Participates in technology discussions, and suggests improvements to technology and practices.
• Create service oriented architecture-enabled applications and business processes
• Developing aggregate services as appropriate to improve user experience and operations manageability
• Employing ESB capabilities appropriately from service discovery and availability
• Facilitate the integration of SOA application packages;
• Analysis of data flow and issue resolution analysis
• Designing effective solutions for complex programming and program debugging
• Perform other incidental and related duties as required and assigned.

Required Skills and Knowledge:

• Expert in best practices, processes, and tools required to develop enterprise-level Java-based applications.
• Proficiency in Java Core stack
• 5+ years in developing distributed and modular computing solutions
• Strong knowledge of JBOSS SOA tools such as Switchyard, JBOSS Enterprise Service Bus, Registry and Orchestration
• Proficient in XML/XSLT and integration infrastructure technologies such as HorentQ components
• Strong understanding of waterfall and iterative methodologies
• Excellent written and verbal communication skills in a global team environment
• Hands-on experience implementing Web Services (SOAP and RESTful).
• Experience with Web Service Security specifications, WS-Security, WS-Policy, SAML, etc.
• Hands-on experience with Java and Java EE Technologies (EJB, JMS, JDBC, SQL, XML, Servlet, XPath and XSLT)
• Experience conducting proof-of-concept, developing prototyping and building reference models.
• Experience building, configuring and deploying services on containers such as JBOSS and Tomcat.
• Experience with Spring Batch, Hibernate, Struts, Axis, Maven is desired.
• Integration experience with Messaging, UDDI, Service Registry and Service Repository
• Deep knowledge and understanding of Mediation, Policy Enforcement and other ESB functions.
• Deep knowledge of SOA principle, design patterns, application and integration architectures
• Demonstrated excellence in designing and implementing multi-tiered, enterprise applications and packages (Java EE, JBoss, and RDBMS), High Throughput Web Services, EAI, and integration middleware (Switchyard).
• Ability to analytically address complex problems, process critical data, establishes facts, and draw quality conclusions.
• Practical application debugging and troubleshooting skills.
• Linux/Unix commands and basic administration
• Strong understanding of QA and Release Management process.
• Strong understanding of various SDLC methodologies.
• Experience working with offshore development.
• Experience working with Business Logic integration platform is a plus.
• Demonstrable ability to deliver projects on time, with high quality, and within budget.
• Excellent multitasking and time management skills with consistent attention to detail.
• Strong analytical and problem solving skills.
• A team player who enjoys collaborating with technical and non-technical colleagues at all levels of the business.

Education and Experience:

• 5+ years in developing distributed and modular computing solutions
• 2+ years of experience with persistence models like DAO or Hibernate
• 1+ years’ experience with Web Services and understanding of ESB.
• 4 year degree in business, software engineering / computer science or equivalent job-related experience.
• BS/BA (EE/CS) - Master’s degree preferred or equivalent.

Collect on defaulted student loans and return money to Federal and State agencies. We are problem solvers by offering payment options to people who didn't think they had any options left. Your work entails skip tracing to locate the person, negotiating appropriate payment-in-full or payment plans, and the follow through to completion.

Position Requirements:

• 2+ years general work experience dealing with people. Experience in accounting, finance, or banking; debt collection, investigative skills, skip tracing, call center operations, sales; or loan servicing is especially relevant
• Clear Communication: speak clearly and be persuasive over the phone, control the conversation, listen for concerns, negotiate and close the deal are key
• Self-motivated: the ability to plan, stay on task, keep yourself moving forward is important
• Competitive / Driven: Set goals and strive to reach them, overcome objections, persistence and follow through are very important

Consumer Tax / Commercial Tax / Treasury Specialists deal with individuals or companies who owe Federal or State government taxes, fines, fees or loans and negotiate payment in full or payoff arrangements per client specifications. You could be negotiating with attorneys, company or finance officials, small business owners or other individuals to ensure repayment.

Position Requirements:

• 2+ years general work experience dealing with people. Experience in accounting, finance, or banking, debt collection, investigative skills, skip tracing, call center operations, sales; or loan servicing is especially relevant
• Professional level communication: able to speak to business people on their terms, negotiate and close the deal
• Professional negotiation skills: navigate your way through a corporation or business structure, finding the right person who can write the check, and get them to do it.
• Treasury positions require the ability to receive Federal Security Clearance

Collect on defaulted student loans and return money to Federal and State agencies. We are problem solvers by offering payment option solutions to people who didn't think they had any options left. Your work entails skip tracing to locate the person, negotiating appropriate payment-in-full or payment plans, and the follow through to completion.

Position Requirements:

• 2+ years general work experience dealing with people. Experience in accounting, finance, or banking, debt collection, investigative skills, skip tracing, call center operations, sales; or loan servicing is especially relevant
• Clear Communication: speak clearly and be persuasive over the phone, control the conversation, listen for concerns, knowing how to negotiate and close the deal are key
• Self-motivated: the ability to plan, stay on task, keep yourself moving forward is important
• Competitive / Driven: Set goals and strive to reach them, overcome objections, persistence and follow through are very important

Collect on defaulted student loans and return money to Federal and State agencies. We are problem solvers by offering payment option solutions to people who didn't think they had any options left. Your work entails skip tracing to locate the person, negotiating appropriate payment-in-full or payment plans, and the follow through to completion.

Position Requirements:

• 2+ years general work experience dealing with people. Experience in accounting, finance, or banking, debt collection, investigative skills; skip tracing, call center operations, sales; or loan servicing is especially relevant
• Clear Communication: speak clearly and be persuasive over the phone, control the conversation, listen for concerns, negotiate and close the deal are key
• Self-motivated: the ability to plan, stay on task, keep yourself moving forward is important
• Competitive / Driven: Set goals and strive to reach them, overcome objections, persistence and follow through are very important

Loan Counselors are problem solvers offering payment option solutions to borrowers. The work entails skip tracing to locate borrower, negotiating appropriate payment ?in-full or payment plans, and follow through to resolution.

Position Responsibilities:

• Responsible for managing a portfolio of student loan accounts
• Interacts with borrowers to determine their issues, address their questions and offer the appropriate financial solution

Required Skills and Knowledge:

• 2+ years general work experience dealing with the publice
• Excellent communication skills: speak clearly and listen for concerns
• Excellent negotiation skills: be persuasive and able to close the deal
• Self-motivated: the ability to plan, stay on task and be motivated by the financial rewards of earning bonuses
• Competitive/Driven: be persistent, set goals and strive to achieve them
• Ability to manage and prioritize accounts and follow-up during appropriate windows to initiate resolution of delinquent accounts
• Proven work ethic and ability to stay focused in a time structured call center environment
• Some college education preferred

This position will support training and quality assurance for Healthcare Services? Audit and Customer Service Staff. Additionally, this position will be responsible for assisting in the strategic planning, preparation and delivery of outreach material.

• Assisting in strategically planning outreach material, timing, approach, and target audiences.
• Create training/outreach material such as power points, Webinar slides, conference call agendas.
• Assist in facilitating set up and/or scheduling conference calls/Webinars/on site visits.
• Hosting and/or conducting Webinars/conference calls/on site visits and conducting Q&A?s after the presentations (should co-chair these responsibilities with the Medical Director).
• Assist in creating and monitor material that will be put on our Web site such as the material and Q&As from past and future webinars/conference calls/on site visits; list or post past, current and future vulnerabilities.
• Assist with provider, provider associations, and ACs relationship management.
• Monitor processes, on going maintenance and improvements of the outreach program.
• Assist in establishing best communication methodologies, supervise, coordinate and problem solve providers concerns in a timely manner.
• Collaborates with technology, workforce to ensure efficiency and effectiveness of providers needs.
• Assist Customer Service Specialist (CSS) with complex calls and make referrals to Medical Director as necessary.
• Provide audit staff training.
• Track changes in coding and Medicare policies.
• Perform routine Quality Assurance: ensure review variance is minimized and monitor quality, timeliness and performance.
• Perform coding and complex claims reviews as time permits.
• Travel will be required.
• Maintain knowledge of contract goals, objectives and requirements.
• Other Duties as assigned.

Required Skills and Knowledge:

• Registered Nurse (RN) currently licensed in the State of Texas with additional current certification in Utilization Review or Case Management.
• Subject matter expertise in Medicare reimbursement/ payment policies, medical chart review and analysis, and medical terminology.
• Ability to apply (InterQual, Milliman) practice management guidelines to determine medical necessity, and appropriateness of coding and billing.
• Ability to research complex issues pertaining to Medicare benefits and coding/billing policies / practices. Able to synthesize the information, concisely communicate either verbally or in writing findings and recommendations.
• Strong presentation skills. Comfortable in presenting /defending audit logic to client and stakeholders ( i.e. hospitals, physicians).
• Ability to identify billing and payment discrepancies for Inpatient/Outpatient Hospital, SNF, IRF, Psych.
• In depth knowledge of ICD-9, DRG, CPT Coding, HCPCS, Revenue Codes, Coding Clinic and medical terminology.
• Strong analytical skills.
• Outstanding people skills and ability to effectively communicate review findings /results with management, or providers, customers.
• Strong verbal and written communication skills.
• Proficient on PC and related software programs.
• Excellent organizational skills.

Experience:

• Registered Nurse (RN) currently licensed in the State of Texas with additional current certification in Utilization Review or Case Management.
• 3 year Medical claims processing and/or claims billing experience

The Nurse/Coder performs retrospective claim audit reviews on Medicare claims for DRG and Clinical validation. You will work in a fast paced and dynamic environment and be part of a multi-location team. The successful candidate will be a team player able to collaborate with a variety of different entities to solve problems and generate solutions.

Responsibilities:

• Auditing Medicare claims for medically appropriate services provided in both inpatient and outpatient settings
• Conduct Coding reviews
• Conduct Clinical reviews
• Develop and maintain professional working relationships with the DCS team.
• Assist in educating the DCS Team members on coding, policies, regulations, appeal strategies etc.
• Serve as a resource to CCS staff and escalated provider calls.
• Enter and update all contact and/or review findings and supporting documentation into MARS. Documenting all findings referencing the appropriate policies and rules
• Notify management of:
  • all correspondence indicating displeasure with the RAC, in the overpayment identification, or in the recovery methods utilized,
  • legal action
  • government intervention
• Applying appropriate Medicare policy and rules
• Generating letters articulating audit findings
• Supporting your findings during the appeals process if requested
• Work with the project team to minimize appeals
• Working collaboratively with the audit team to identify and obtain approval for particular vulnerabilities and/or cases subject to potential abuse
• Work in partnership with CMS, CMD colleagues, and other Medicare contractors on improving Medicare policies, provider education, and system edits
• Collaborate policies and procedures pertinent to the RAC review process
• Keep abreast of medical practice, changes in technology, and regulatory issues that may affect the RAC contract
• Suggest ideas that may improve work flow
• Assist with QA functions
• Participate in development of Medical Review Guidelines
• Assist with training review team members
• Interface with and support the Medical Director
• Cross train in all clinical departments/areas
• Maintain coding and HIPAA Certification
• Perform miscellaneous duties as assigned in a highly professional manner
• Attend conference calls and all meetings as requested.

Required Skills and Knowledge:

• Certification as a CPC, CPC-H, CPC-P, RHIA, RHIT, CCS, or CCS-P
• Active unrestricted RN license in good standing
• Strong preference for experience performing utilization review
• Experience with utilization management systems or clinical decision making tools such as Medical Coverage Guidelines (MCG), Millimen or InterQual
• Experience with ICD-9, HCPCS/CPT, DRG coding
• Proficient in the use of HCFA/UB forms
• Knowledge of the Medicare program, particularly the coverage and payment rules
• Ability to maintain high quality work while meeting strict deadlines.
• Excellent written and verbal communication skills
• Not currently sanctioned or excluded from the Medicare program by the OIG
• Ability to manage multiple tasks including desk audits and claims review
• Must be able to independently use standard office computer technology (e.g. email telephone, copier, etc.) and have experience using a case management system/tools to review and document findings
• Must be able to manage multiple assignments effectively, create documentation outlining findings and/or documenting suggestions, organize and prioritize workload, problem solve, work independently and with team members
• Strong knowledge of medical documentation
• Courteous, professional, and respectful attitude
• Possess knowledge of CMS rules and regulations.
• Flexibility to handle any non-standard situations that may arise

Experience:

• Minimum of three years diversified nursing experience providing direct care in an inpatient or outpatient setting
• Previous Medical claims processing, and/or medical customer service
• 2+ years experience coding for an inpatient facility/SNF Facility
• Thorough working knowledge of CPT/HCPCs/ICD-9/DRG coding
• One or more years experience performing medical records review
• One or more years experience in healthcare claims that demonstrates expertise in, ICD-9 coding, HCPS/CPT coding, DRG and Medicare claims data such as for medical billing experience for an Insurance Company or hospital required

Answer customer service inquiries, assist in identifying vulnerabilities, and performing coding reviews. Additionally they will be knowledgeable of all contract goals, objectives and requirements.

• Conduct Coding reviews.
• Facilitate and process requests from and/or to the DCS Team
• Make necessary contacts and/or perform necessary research to validate provider contact information
• Contact healthcare providers on overpaid claims and maintain collection records and account status updates
• Develop professional working relationships with colleagues, healthcare providers and other Medicare contractors.
• Establish good contact with providers to guarantee proper claim presentation and follow up
• Enter and update all contact and activity information into MARS where not automatically completed by the system, e.g., a telephone call is made, recorded, and attached to the case file in MARS, but the outcome must be extracted from the call and input into MARS
• Notify management of:
  • all correspondence indicating displeasure with the RAC, in the overpayment identification, or in the recovery methods utilized,
  • legal action
  • government intervention
• Research and route internal/external communications to the appropriate person or department, including referrals received from Medicare contractors and documents, calls, and faxes sent to Medicare contractors by mistake
• Conduct critical due diligence follow-ups of unread media
• Answers questions from providers and resolves issues via phone and written correspondence
• Educating providers on their appeal rights
• Communicate with other staff/departments as necessary
• Report and validate debts ineligible for referral by category to management
• Maintain a current knowledge of all Medicare rules, regulations, policies and procedures
• Maintain current knowledge of all contract requirements and objectives
• Maintain HIPAA Certification
• Conduct simple coding reviews
• Perform miscellaneous duties as assigned in a highly professional manner

Minimum Qualifications:

• Certification as a CPC, CPC-H, CPC-P, RHIA, RHIT, CCS, or CCS-P
• Excellent verbal and written communication skills
• Skilled in data entry and knowledge of computers
• Courteous, professional, and respectful attitude
• Strong understanding of customer service policies and processes
• Basic understanding of accounts payable and receivable
• Possess knowledge of CMS rules and regulations
• Knowledgeable of the uses of ICD-9, HCPCS/CPT codes
• Proficient in the use of HCFA/UB forms
• Flexibility to handle any non-standard situations that may arise
• Must be able to multi task

Experience:

• Previous Medical claims processing, and/or medical customer service
• 2+ years experience coding for an inpatient facility/SNF Facility
• Thorough working knowledge of CPT/HCPCs/ICD-9 coding