Charge Entry Billing Specialist

About GlyCare

GlyCare is a provider group that delivers specialized inpatient services within hospital settings. We operate as a consultative diabetes management service partnering with hospitals across multiple states to improve clinical outcomes and operational efficiency.

Our Nurse Practitioners and Physician Assistants provide high-quality evidence-based care supported by a dedicated billing and revenue cycle team responsible for accurate timely and compliant reimbursement.

As GlyCare continues to expand into new hospitals and markets we are seeking a detail-oriented and accountable Charge Entry Specialist who can work both independently and collaboratively in a fast-paced high-volume environment.

Position Summary

The Revenue Integrity & Charge Reconciliation Specialist is responsible for the accurate and timely capture review reconciliation and submission of professional charges for hospital-based inpatient services.

This is not a basic data-entry position. The role requires the ability to compare information from multiple systems identify discrepancies validate billing data investigate missing or inaccurate information and ensure charges are complete and compliant before they are released for claim submission.

This position manages the charge workflow from census reconciliation through final charge review. Responsibilities include identifying missing or duplicate encounters confirming provider and patient information validating coding and billing elements maintaining detailed tracking tools and coordinating with clinical billing and accounts receivable teams to resolve discrepancies.

The ideal candidate is highly organized analytical proactive and comfortable taking ownership of charge accuracy across multiple providers facilities systems and states.

Key Responsibilities

Charge Capture and Reconciliation

• Perform daily census-to-charge reconciliation to confirm that all billable patient encounters have been captured.
• Compare census encounter provider and charge information across multiple systems and reports.
• Identify and resolve missing duplicate incomplete or conflicting charges.
• Confirm that each charge is associated with the correct patient provider facility encounter and date of service.
• Reconcile information received from electronic medical records hospital census reports charge files provider documentation and billing systems.
• Maintain accurate and organized reconciliation logs for multiple hospitals and providers.
• Track unresolved discrepancies and follow them through to completion.
• Escalate missing documentation system issues or unresolved charge concerns when appropriate.

Charge Review and Billing Validation

• Review professional charges for completeness accuracy and compliance before submission.
• Validate CPT and HCPCS coding ICD-10 diagnosis alignment and modifier usage within the scope of the role.
• Verify key billing elements including:
• Patient demographics
• Insurance information
• Dates of service
• Place of service
• Rendering provider
• Billing provider
• Facility or service location
• Patient status
• Authorization or referral requirements
• Eligibility information
• Identify outdated invalid incomplete or potentially noncompliant coding or billing information.
• Correct billing information when appropriate or route the issue to the correct team member for resolution.
• Review charges for duplicate billing conflicting information missing documentation or other issues that could delay or prevent reimbursement.
• Support clean claim submission by resolving issues before charges are released.

Workflow and Timeliness Management

• Process review and release charges within established turnaround-time standards.
• Prioritize work based on charge age facility provider volume and potential reimbursement risk.
• Manage high-volume charge workflows across multiple facilities and states while maintaining accuracy.
• Monitor outstanding or incomplete charges and follow up promptly with the appropriate team.
• Maintain consistent documentation of all actions taken issues identified and corrections made.
• Ensure charge workflows remain current and do not create unnecessary billing delays.

Analysis and Issue Resolution

• Investigate charge discrepancies and determine the underlying cause of the issue.
• Work with providers clinical operations billing credentialing and accounts receivable teams to resolve charge-related concerns.
• Analyze recurring errors or delays by provider facility service location system or workflow.
• Identify trends involving missing charges duplicate charges provider assignment errors coding concerns or delayed documentation.
• Communicate recurring issues to leadership and assist with corrective action.
• Proactively identify workflow gaps system inconsistencies or documentation problems that may affect revenue integrity.
• Help develop tracking methods reports and process improvements that reduce errors and improve charge accuracy.

Collaboration and Communication

• Communicate clearly and professionally with providers and internal teams regarding documentation coding charge or workflow questions.
• Request missing or corrected information in a timely and respectful manner.
• Explain identified discrepancies clearly and provide enough detail for the issue to be resolved.
• Collaborate with billing and accounts receivable staff to address charge-related denials rejections or payment delays.
• Support patient-facing billing inquiries when additional charge research is needed.
• Maintain professional communication across a growing multi-state organization.

Operational Support and Growth

• Support the onboarding of new hospitals providers and service locations.
• Assist with testing and validating charge workflows before and after new facility launches.
• Confirm that provider facility coding and billing information is correctly configured for new operations.
• Maintain organized procedures tracking tools reconciliation records and audit-ready documentation.
• Participate in process improvement efforts that increase accuracy efficiency and scalability.
• Cross-train in related billing coding claims or revenue cycle functions as operational needs evolve.

Qualifications

• At least one year of experience in medical billing charge capture charge entry coding support claim review pre-bill review revenue integrity or healthcare revenue cycle operations.
• Experience in a physician practice hospital-based medical group health system specialty practice medical billing company or similar healthcare environment.
• Working knowledge of professional medical billing and charge workflows.
• Familiarity with CPT HCPCS ICD-10 modifiers place of service provider attribution and claim-submission requirements.
• Experience reviewing reconciling or validating billing data from multiple sources.
• Ability to identify missing duplicate inconsistent or inaccurate information.
• Ability to investigate issues determine root causes and follow discrepancies through resolution.
• Proficiency in Microsoft Excel including the ability to organize compare filter reconcile and validate large datasets.
• Experience using electronic medical record practice-management billing or claim systems.
• Familiarity with systems such as Epic Cerner or PracticeSuite is helpful but not required.
• Strong attention to detail and commitment to accuracy.
• Strong organizational and time-management skills.
• Ability to manage multiple priorities and high-volume workflows while meeting deadlines.
• Effective written and verbal communication skills.
• Ability to work independently while collaborating effectively with clinical and billing teams.

Hospital-based multi-facility or multi-state billing experience is preferred but not required.

Candidates do not need experience with every system or responsibility listed above. Applicants with a strong background in charge capture medical billing coding validation claim review reconciliation payment integrity or other related revenue cycle functions are encouraged to apply.

Work Schedule and Location

This is a full-time on-site position located in Jacksonville Florida.

Schedule: Monday through Friday

Applicants must be able to reliably commute to the Jacksonville office.

Compensation

Salary range: $52000$58000 annually commensurate with experience and qualifications.