Full Time, Employee

Harrisburg, PA

We have an immediate need for a Practice Manager. Someone who will has strong experience within medical billing in a Physicians Group or Hospital setting. In addition to billing experience, we are looking for someone with Supervisory experience.

Responsibilities include:

  • 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

For more information regarding this position, please send us your resume and an SGC representative will be in touch.