Revenue Claim Reviewer I

Home Care Delivered • Glen Allen, VA

236d

About The Position

Home Care Delivered, Inc. was founded by Gordy Fox in 1996 as a result of his own personal experience with family members aging and living with chronic medical conditions. He found that it wasn't easy for people in the home health setting to get the information or the supplies they needed to care for themselves or to follow their physicians' treatment plans properly. HCD provides only the highest quality medical supplies and products. We carry thousands of items from leading providers in the industry and deliver them within 48 hours to your door. This role ensures that Home Care Delivered, Inc. is properly reimbursed on claims it has submitted for payment. The position requires effective communication with key decision makers within the company and undertaking all work in accordance with law, regulation, payer requirements, and company requirements and policies. This role is 100% remote but EST is preferable.

Requirements

• High School Diploma and/or GED required.
• Experience with insurance billing and/or collections required.

Nice To Haves

• Associates Degree, strongly preferred. Degree can be in general studies, accounting, finance or similar course of study.

Responsibilities

• Researches and resolves issues with claims, including denials and appeals for assigned payer group.
• Identifies discrepancies and effectively works toward their resolution or communicates to other personnel for resolution as appropriate.
• Effectively communicates with other revenue management staff and management, including potential changes to PayerPro, changes in fee schedule, need for prior authorization, etc.
• Maintains appropriate level of communication and confidentiality.
• Performs all other duties assigned, which may vary at any time with or without notice.

What This Job Offers

• Career Level: Entry Level
• Industry: Merchant Wholesalers, Durable Goods
• Education Level: High school or GED
• Number of Employees: 251-500 employees