Full Time, Employee

Harrisburg, PA

We have an immediate need for two Account Managers who are adept at problem-solving, troubleshooting and possess leadership qualities. The successful candidates must be effective in communicating both verbally and in writing with clients. They demonstrate superior working knowledge of processes and specialties. They are highly competent, reliable, trustworthy, honest and generally respected among staff. Their work reflects integrity. They add value to the services that we furnish to our clients. Their proven track records reflect a capacity to grow and adapt to change within the industry and our organization. They play a vital role in maintaining our competitive advantage in the marketplace.

Practice Managers are responsible for:

  • Monitor vendor to ensure timely posting of charges, payments, denials, patient statement processing status of payment posting, resolution of denied claims and A/R as well as resolution of guarantor and insurance credit balances.
  • Define and monitor vendor charge posting process and electronic superbill reconciliation
  • Tracking exchange and receipts of information (charges, insurance payments, patient payments, credit card payments)
  • Monitor claim edits / errors
  • Tracking claim trends and reporting trends
  • Identifying reimbursement challenges and mitigating issues
  • Denial monitoring and management
  • Develop and implement deposit reconciliation process with clients
  • Responsible for patient statements and collections processes
  • Oversight of timely processing of refunds and credits
  • Monitor monthly revenue targets
  • Monitor A/R benchmarks
  • Ongoing training
  • Quality control and account monitoring/auditing
  • Reporting trends, concerns, opportunities for improvement
  • Identifying and reporting potential compliance vulnerabilities
  • Communicate with clients as needed to review issues and help define client specific processes
  • Ensure and monitor staff compliance with HIPAA
  • Report compliance breaches and risk areas to Director
  • Confirm places of service, facilities, proper use of coding for site of service
  • Audits 10 accounts monthly from each site of service for each client

For more information, please send us your resume and an SGC Representative will be in touch.