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: $52,000–$58,000 annually, commensurate with experience and qualifications.
