Revco Solutions

Systems Engineer

• Design, develop, test, implement, and maintain custom software solutions and automation that support and extend enterprise IT systems
• Develop and maintain C# .NET-based applications, services, and scripts, with opportunities to leverage PHP, PowerShell, or other languages where appropriate
• Design, build, and maintain integrations with internal systems and external partner platforms using APIs (REST, authentication, data exchange, webhooks, etc.)
• Query relational databases using ODBC to support application, service, and script development
• Plan, implement, and enhance systems automation to improve efficiency, reliability, and scalability across IT operations
• Assist in the development and maintenance of system-monitoring, alerting, and supporting automation to enhance service quality and reduce manual effort
• Participate in general IT operations and user support, providing advanced troubleshooting across applications, operating systems, and infrastructure
• Troubleshoot software, system, and integration issues by running diagnostics, documenting problems and resolutions, prioritizing incidents, and assessing business impact
• Provide technical documentation, specifications, and diagrams to support development, integrations, and infrastructure changes
• Collaborate with internal teams and external partners to design and support secure, reliable, and well-documented integrations

IT Systems Engineer

Client Services Representative

• Maintain/develop constructive and cooperative working relationships with clients over time.
• Confer with clients by telephone to provide or obtain information including updating account statuses, consumer contact information, or other additional information relating to the collection of debts.
• Strive to respond to client inquiries received within the same business day.
• Keep records of client interactions, recording details of inquiries, complaints, or comments, as well as actions taken within the system.
• Check to ensure that appropriate changes were made to resolve client concerns or inquiries.
• Promptly refer unresolved client inquiries to designated departments for further investigation/review.
• Promptly process itemized bill requests and utilize WebNow for obtaining/processing disputes, when applicable.
• Send notification to the client of final bill requests, balance/payment verifications, disputes, and instances of fraud and/or identity theft and follow up on responses received.
• Post direct payments.
• Access client websites when applicable to assist with consumer resolutions.
• Process monthly client statements providing payment details and invoice to clients and reconcile any disputes.
• Participate in audits, client visits, external client meetings, conference calls and summits, as necessary.
• Ensure all process and procedure documentation are kept current.
• Client Services must adhere to and be compliant with FDCPA, FCRA, FACTA, Regulation E, HIPAA, TCPA and other applicable federal, state, and local laws as well as company policies and procedures.
• Abide by all policies as outlined within Revco Solutions Employee Handbook.

Client Services Representative – BD

Medical Billing and Coding

• Work assigned credit balance inventory queues daily for hospital and physician accounts, prioritizing accounts based on ageing, dollar amount, payer requirements, and regulatory timelines.
• Research the root cause of credit balances, including duplicate payments, overpayments, coordination of benefits errors, retroactive adjustments, contractual discrepancies, and posting inaccuracies.
• Determine the appropriate resolution method for each credit balance, including: Refunds to payers or patients, Reallocation of payments to open balances, Contractual or administrative adjustments, when applicable.
• Prepare and submit refund requests with complete and accurate supporting documentation.
• Review remittance advice (ERAs/EOBs) and account transaction history to validate overpayment sources and resolution accuracy.
• Apply credits to the oldest dates of service first, unless otherwise required by payer or regulatory guidelines.
• Maintain clear, detailed account notes documenting research performed, actions taken, and final resolution.
• Monitor payer and regulatory timelines to ensure timely resolution and avoid compliance risk.
• Escalate complex, high-dollar, or non-standard credit balance scenarios in accordance with established workflows.
• Partners with payment posting, insurance follow-up, billing, coding, and refund teams to resolve credit balances requiring cross-functional action.
• Identify and report recurring credit balance drivers, payer trends, or system issues to leadership.
• Support audit requests and quality reviews by providing account documentation and resolution details.
• Participate in process improvement initiatives to reduce future credit balance volume.
• Meet or exceed established productivity standards for credit balance accounts resolved.
• Maintain high accuracy and compliance with payer contracts, refund policies, and regulatory requirements.
• Ensure timely resolution of credit balances in accordance with organizational and payer timelines.
• Adhere to documentation, audit, and compliance standards.

Medical Billing Payment Poster

Insurance

• Conduct detailed analysis and follow-up on outstanding insurance claims (both commercial and government), ensuring timely and accurate resolution in accordance with payer guidelines.
• Research and resolve claim denials, rejections, and underpayments by initiating appropriate billing corrections, appeals, and resubmissions.
• Prepare and submit claim documentation—including EOBs, itemized statements, and medical records—as required by payers to support claim adjudication.
• Respond to payer and patient inquiries related to delinquent claims, maintaining compliance with privacy regulations and payer contract guidelines.
• Utilize payer portals, Electronic Health Records (EHR), and patient accounting systems to investigate claim status, post notes, and manage follow-up activities.
• Identify trends in denials and payment delays, contributing to process improvement initiatives and strategies for reducing AR days.
• Maintain accurate and detailed records of account activity, ensuring that production goals and quality standards are consistently met or exceeded.
• Demonstrate strong communication skills when interacting with insurance representatives, patients (as appropriate), and internal departments to resolve outstanding issues.
• Prioritize and organize daily workload effectively to meet departmental benchmarks in a fast-paced, high-volume environment.
• Provide support on special projects and additional assignments as requested by management

IT Systems Engineer

Client Services Representative – BD

Medical Billing Payment Poster

Insurance Follow-Up Specialist