About Rx Redefined

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

The Quality Control Specialist I supports core billing operations within our innovative DME care-delivery model. This role focuses on accurate claim handling, timely task execution, and clear documentation to ensure smooth revenue cycle processes. The ideal candidate is detail-oriented, eager to learn, and committed to building strong foundational billing skills in a fast-paced, technology-driven environment.

Duties & Responsibilities

• Review and respond to Home Health tickets or audit requests in alignment with established workflows and guidelines.
• Process submissions with a high level of accuracy, including follow up and final review.
• Complete assigned tasks within established timelines and escalate when deadlines may be at risk.
• Document all actions taken to resolve problematic or complex claims clearly and consistently in the billing system.
• Communicate proactively regarding blockers, dependencies, or issues that require leadership support.
• Support ongoing billing operations by maintaining organized, up-to-date documentation and following established SOPs.
• Contribute to a positive team environment and demonstrate a willingness to learn and grow within the role.

Who You Are

• Strong attention to detail and commitment to accuracy.
• Ability to follow established workflows and maintain clear documentation.
• Effective communicator (advanced English proficiency) who asks questions, seeks clarity, and escalates issues appropriately.
• Comfortable working independently while contributing to team goals.
• Able to adapt to changing processes, tools, and priorities in a fast-paced environment.
• Basic proficiency with billing systems and general software tools; willingness to learn new platforms.
• High school diploma or GED required.