Revenue Cycle Specialist

About the role

GlyCare is an independent, physician-led provider group that delivers specialized inpatient services within hospital settings. We function as a consultative diabetes management service, partnering with hospitals across multiple states to improve clinical outcomes and operational efficiency. Our team of Nurse Practitioners and Physician Assistants provides high-quality, evidence-based care, supported by a dedicated billing operations team that ensures accurate, timely, and compliant revenue cycle performance. As we continue to expand rapidly across new markets, we are seeking a detail-oriented and accountable Revenue Cycle Specialist who can operate both independently and collaboratively in a fast-paced, high-volume environment.

Responsibilities

• Perform daily census-to-charge reconciliation to ensure all billable patient encounters are captured
• Identify and resolve missing, duplicate, or incomplete charges across multiple systems
• Ensure accurate linkage between encounter, provider, and charge data
• Reconcile data across EMR, charge files, and billing systems to ensure completeness and consistency
• Maintain detailed reconciliation logs across multiple hospitals and providers
• Review charges for accuracy, completeness, and compliance prior to submission
• Validate CPT/HCPCS coding, ICD-10 diagnosis alignment, and appropriate modifier usage
• Verify the accuracy of key billing elements, including place of service (POS), dates of service, authorization requirements, patient eligibility, and correct provider attribution
• Identify and correct invalid, outdated, or non-compliant coding prior to claim submission
• Process and release charges within defined timeliness standards to support clean claim submission
• Manage high-volume workflows across multiple facilities and states while maintaining accuracy
• Investigate and resolve charge discrepancies in collaboration with providers, billing, and AR teams
• Analyze trends in charge errors, denials, or delays by provider, service line, or facility
• Identify root causes and partner with clinical and operational leadership to implement corrective actions
• Proactively flag workflow gaps, documentation issues, or system inconsistencies impacting revenue integrity
• Communicate clearly with providers regarding coding and charge-related questions
• Support patient-facing billing inquiries as needed
• Support onboarding of new facilities and providers, including validation of charge workflows and coding accuracy
• Maintain organized documentation, tracking tools, and audit-ready records
• Identify and implement process improvements to enhance efficiency, accuracy, and scalability

Qualifications

• 2+ years of experience in medical billing, charge entry, or revenue cycle operations (hospital-based experience preferred)
• Strong understanding of CPT coding and charge workflows
• Experience with charge reconciliation, claim validation, or pre-bill review processes preferred
• Proficiency in Excel, including the ability to analyze, reconcile, and validate large datasets (assessment required as part of the interview process)
• Experience with multi-state or multi-facility billing environments strongly preferred
• Familiarity with EMR and billing systems (Cerner, Epic, PracticeSuite)
• High attention to detail with the ability to identify discrepancies, investigate root causes, and resolve issues independently
• Strong organizational and time management skills, with the ability to manage high-volume workflows and meet deadlines
• Effective communication skills, with the ability to collaborate with clinical and billing teams

Core Competencies

• Accountability: Takes ownership of charge accuracy and reconciliation outcomes
• Organization: Able to track and manage multiple workflows simultaneously
• Proactivity: Identifies issues early and drives resolution without waiting for direction
• Collaboration: Works effectively across teams while maintaining individual productivity
• Adaptability: Thrives in a high-growth, evolving operational environment

Benefits

Salary Range: $52,000- $58,000 annually (commensurate with experience)