Auto Claims Specialist

Revecore•,
•Remote

About The Position

At Revecore, the work helps hospitals recover revenue so they can continue serving patients and communities. The company serves more than 1,300 hospitals across 48 states, using specialized expertise and proprietary technology. The Auto Claims Specialist makes high-volume outbound calls to investigate, bill, and maximize payments on medical claims for hospitals and medical providers. The role investigates auto accidents to determine the responsible payer by contacting patients, insurance representatives, and attorneys. Once the payer is confirmed, the specialist submits bills and supporting documentation, follows up on incorrectly paid or unpaid bills, and resubmits them when appropriate. The role also supports the team with denial reports, audits, and other tasks. This is a work-from-home role. Employees need a private, distraction-free workspace, a secure internet connection meeting the stated speed requirements, and room for the provided workstation equipment. Being on camera is an essential part of the company culture. Applicants must reside in one of the listed eligible U.S. states. Employment is contingent on U.S. work eligibility, employment history verification, and a background check.

Requirements

  • Working knowledge of Microsoft Office, including Word, Excel, and Outlook.
  • Technical proficiency to work with multiple computer screens and software applications simultaneously.
  • Ability to maintain strong performance in a fast-paced, high-outbound-call environment with productivity metrics.
  • Ability to stay organized while multitasking.
  • Strong critical-thinking and problem-solving skills.
  • Clear verbal and written communication skills.
  • Private, distraction-free home work environment.
  • Secure home internet connection with download speeds greater than 20 Mbps and upload speeds greater than 10 Mbps.
  • Must reside in the United States within one of the listed eligible states.
  • Eligibility to work in the United States, employment history verification, and successful background check.

Nice To Haves

  • Experience with Coordination of Benefits and a general understanding of insurance billing.

Responsibilities

  • Make high-volume outbound calls to investigate, bill, and maximize payments on medical claims.
  • Research auto-accident details to identify the responsible payer by contacting patients, insurance representatives, and attorneys.
  • Submit bills and required documentation to insurance companies.
  • Follow up on incorrectly paid or unpaid bills and resubmit bills for additional payment when appropriate.
  • Contribute to denial reports, audits, and general team support.
  • Maintain performance in a fast-paced, high-outbound-call environment with productivity metrics.
  • Use Microsoft Office, multiple computer screens, and software applications while staying organized and multitasking.
  • Apply critical thinking and problem-solving skills and communicate clearly verbally and in writing.

Benefits

  • Extensive multi-week training and ongoing support from teammates.
  • Access to a robust knowledgebase for continued reference.
  • Visibility into individual performance metrics to support goal setting.
  • Company-provided computers and necessary work equipment.
  • Involved management support for productivity metrics.
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