Public Consulting Group

Revenue Cycle Specialist

Job Locations US-NH-Portsmouth | US-ME-South Portland | US-MA-Boston
Posted Date 1 month ago(5/17/2021 2:31 PM)
Job ID
2021-6538
# of Openings
1
Category
Operation Support
Type
Regular Full-Time
Practice Area
Health Services

Overview

About Public Consulting Group

Public Consulting Group, Inc. (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986 and headquartered in Boston, Massachusetts, PCG has over 2,500 professionals in more than 60 offices worldwide. PCG’s Health practice offers in-depth programmatic knowledge and regulatory expertise to help state and municipal health agencies respond to regulatory change, improve access to health care, maximize program revenue, improve business processes, and achieve regulatory compliance. Using industry best practices, PCG’s Health team helps organizations deliver quality services with constrained resources to promote improved client outcomes. To learn more, visit http://www.publicconsultinggroup.com/health/.

Responsibilities

  • Monitor and Send Claim Files and Paper Claims to Commercial, Medicare and Medicaid
  • Monitor and work Rejections from 277 files
  • Monitor and work denials
  • Post payments manually when required
  • Process QA and mail statements
  • Monitor, review and work outstanding AR
  • Answer provider, submitter, client questions regarding claims and claims related issues
  • Perform Quality Assurance Audits
  • Any other duties assigned and relevant to the RCM of the project

 

Qualifications

  • Ability to organize and analyze data
  • Ability to execute tasks within a tight deadline
  • Ability to properly execute tasks outlined in a process and escalate issues/problems in a timely manner
  • Demonstrated accuracy and strong attention to detail
  • Proficiency with Microsoft Office, particularly Excel
  • Ability to understand industry standards such as 837, 999, 277 and 835 files and rejection and denial management
  • Education:  High School Diploma
  • Minimum of 1 year experience in Professional and Institutional Billing a plus.
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EEO Statement

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

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