Full Time, Employee

Harrisburg, PA

Revenue Cycle Specialist must have strong skills and knowledge of physician billing, problem solving, and demonstrate strong communication skills. They will work on a team which excels in using the latest technology to process claims and payments.

  • Monitor system to include 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 charge posting process and electronic superbill reconciliation
  • Tracking exchange and receipt of information (charges, insurance payments, patient payments, credit card payments)
  • Monitor claims edits/errors
  • Tracking claims trends and reporting trends
  • Identifying reimbursement challenges and mitigating issues
  • Denials monitoring and management
  • Develop and implement deposit reconciliation process with client
  • Responsible for Patient Statement and Collections Process
  • Oversight of timely processing of refunds and credits
  • Monitor monthly revenue targets
  • Monitor A/R Benchmarks

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