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Revenue Credit Reviewer
HOME CARE DELIVERED, INC.Glen Allen, VA, US- Promoted
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Virginia Community College SystemVA, United States- Promoted
NON-CREDIT PHLEBOTOMY ADJUNCT INSTRUCTOR- LEBANON
State of VirginiaVA, United StatesRevenue Credit Reviewer
HOME CARE DELIVERED, INC.Glen Allen, VA, US- Full-time
Job Description
Job Description
Home Care Delivered (HCD) is a rapidly growing specialty medical supply distributor that partners with physicians, home healthcare providers, and other healthcare practitioners by providing medical products to their patients, delivered directly to their homes anywhere across the U.S. HCD has contracts with hundreds of insurance companies including Medicare, state Medicaid plans and commercial insurance plans throughout the U.S. HCD offers a wide array of name-brand products across multiple chronic care categories, including Incontinence, Diabetes, Ostomy, Urological, Wound Care, Equipment and Oral Nutritional Supplements. These products are instrumental in assisting people to return home from a hospital stay or remain in the home setting. HCD has offices across the US and distribution that enables next-day delivery for 96% of the US population. Founded in 1996, HCD has a successful operating history and today employs over 200 teammates. HCD is guided by the company's purpose statement : To help people live with confidence and dignity. With a 98% customer satisfaction rating, is elevating the industry standard.
Due to the success of our organization, we are hiring a Revenue Credit Representative to work onsite at our Glen Allen, VA office.
The Revenue Credit Representative ensures that Home Care Delivered, Inc., properly reimburses the insurance companies for claim identified as overpayments. Identify trends and determine if a valid credit for refund or a fee schedule variance. Communicates effectively with key decision makers within the company. Undertakes all work in accordance with law, regulation, payer requirements, and company requirements and polices.
ESSENTIAL DUTIES :
- Demonstrates HCD Core Values : Inspire, Innovate, Be Compassionate, Show Gratitude, Act Boldy.
- Research and resolves overpayment with claims, including refunding and communicating with the insurance companies or customers.
- Identifies discrepancies and effectively works toward their resolution or communicates to other personnel for resolution as appropriate.
- Monitors refunds to ensure properly retracted by payers. If not retracted, the associate must investigate with the payer to determine the root cause.
- Effectively communicates with revenue management staff, including potential changes to PayerPro, changes in fee schedule, etc.
- Performs all other duties assigned, which may vary at any time with or without notice.
REQUIREMENTS :
PHYSICAL REQUIREMENTS :
COMPENSATION :
This is a full-time, non-exempt position with an hourly wage ranging from $18 to $19.
BENEFITS :
Due to the high volume of applications we receive, we are unable to respond individually to each applicant. Rest assured, if your qualifications align with our needs, we will reach out to you directly to discuss the next steps. We request that you refrain from making phone calls to inquire about the status of your application. Thank you for your understanding and interest in joining our team.