Billing Specialist

Healthcare shouldn't be complicated, especially for patients living with chronic conditions. Rx Redefined was founded in 2018 with a mission to positively impact the lives of others by constantly challenging the status quo in healthcare.

Our revolutionary business model enhances healthcare outcomes specifically in the Durable Medical Equipment, Prosthetics, and Orthotics Supplies (DMEPOS) space. Our platform enables physicians to navigate the complexity of compliance and leverage advanced technology to streamline the logistics required to serve their patients effectively, while simultaneously reducing healthcare costs by significantly reducing fraud, waste, and abuse in an industry that desperately needs reform.

We're a fast-growing startup with a simple goal: improve access, outcomes, and patient experience. Our team thrives on solving tough problems, pushing for better solutions, and doing the work that truly makes a difference.

At Rx Redefined we value our people, transparency, dedication, and hard work through a patient-first mentality. 

Join us, and help redefine healthcare for the better.

About the role

Duties & Responsibilities

• Ensure tasks and high priority tasks are completed in a timely fashion
• Assist team members with questions, escalations, and more complicated issues; provide training and support to less experienced team members
• Contribute to a conducive working environment for team members, remove obstacles and pursue solutions to challenges as they arise
• Identify opportunities for improvement and suggest specific improvements to leadership
• Accurately submit HCFA claims using claims management software
• Interpret and post EOBs
• Manage patient return and voluntary payor refunds
• Achieve maximum reimbursement for services provided
• Generate and submit appeal packets with proof of delivery, chart notes, and more
• Deepen your knowledge of healthcare industry and have ability to work on special projects
• Have opportunities to excel in this role and grow and develop in your career
• Work remotely and autonomously

Who You Are

• High school diploma or GED and completion of medical billing program
• 3-5 years experience in billing; DME billing experience preferred
• Can apply billing experience to a non-traditional medical billing environment
• Demonstrates emerging leadership skills as individual contributor or team lead
• Adaptable; our company and industry are changing rapidly
• Can drive continuous improvement to deliver stronger results for customers
• Warm and friendly with customers; strong communication skills and deep customer empathy
• Self-starter, can work autonomously
• Team player who can work effortlessly and effectively with different personalities.
• Confident using software, task management systems like Asana