Revenue Credit Reviewer

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 Reviewer. This is a remote opportunity that may require evening and weekend hours. 

The Revenue Credit Reviewer  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:

• Research and resolves overpayment with claims, including refunding and communicating with insurance companies or customers.
• Identifies discrepancies and effectively works toward their resolution or communicates to other personnel for resolutions as appropriate.
• Monitors refunds to ensure properly retracted by payers. If not retracted, the associate must investigate with the payer to determine root cause.
• Effectively communicates with revenue management staff, including potential changes to PayerPro, changes in fee schedule, etc.
• Performs all other duties as assigned, which may vary at any time with or without notice.

REQUIREMENTS:

• High School Diploma and/or GED required. Associate’s degree, preferred.  Degree can be in general studies, accounting, finance or similar course of study.  
• Experience with insurance billing and/or collections required. 
• Must have demonstrated experience in Microsoft Office.
• Able to complete tasks in specified time frame.
• Demonstrates strong organization skills and proven ability to multi-task and manage time in order to meet frequently changing deadlines in a fast-paced environment.

PHYSICAL REQUIREMENTS:

• Sitting: Ability to sit for extended periods, typically 6-8 hours a day, while working at a computer station.
• Manual Dexterity: Proficiency in using a keyboard, mouse, and other computer peripherals for data entry and communication purposes.
• Visual Acuity: Ability to view a computer screen for prolonged periods, with good visual acuity to read small print and accurately enter data.
• Hearing: Adequate hearing ability, with or without correction, to understand and respond to customer inquiries via telephone or other audio equipment.
• Repetitive Movements: Regular use of the hands, wrists, and fingers to perform repetitive tasks such as typing and using a mouse.

COMPENSATION:

This is a full-time, non-exempt position. 

BENEFITS:

• Medical/Dental/Vision Insurance
• Health Savings Account
• Life Insurance
• 401K Plan
• Paid Holidays
• Competitive PTO schedule that includes vacation, sick, and personal days
• Paid training
• Casual dress code

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.