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Revenue Claim Reviewer I

Company: Home Care Delievered
Location: Clarksville
Posted on: June 12, 2021

Job Description:

Hiring only the best and brightest candidates available is one of the ways Home Care Delivered began its success story in 1996, and that practice continues today. We're looking for fun, positive, and dedicated individuals who want to build a career - not just a job.

If you're going to spend 8+ hours a day working hard, isn't it important that your work actually makes a difference in someone's life? At Home Care Delivered, the clear vision and strong drive to provide America's home-based patients the best products they and/or their loved ones need to care for them is why we're here.

Job Summary

Ensures that Home Care Delivered, Inc. is properly reimbursed on claims it has submitted for payment. Communicates effectively with key decision makers within the company. Undertakes all work in accordance with law, regulation, payer requirements, and company requirements and policies.

Essential Duties

  • 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 is 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 as assigned, which may vary at any time with or without notice.

Education

  • High School diploma and/or GED required.
  • Associate's degree in general studies, accounting, finance or similar courses of study.

Experience

  • Two or more years of experience with Medical Claims, Denials and Appeals required.
  • Experience with Medical insurance billing and/or collections required.

Keywords: Home Care Delievered, Durham , Revenue Claim Reviewer I, Other , Clarksville, North Carolina

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