Customer Operations (Auto Claims)

Revecore

16h•Remote

About The Position

Revecore is seeking a Customer Operations (Auto Claims) specialist to join their team. This role involves making high-volume, outbound calls to investigate, bill, and maximize payments on medical claims to insurance companies on behalf of Revecore's clients (hospitals and medical providers). The company emphasizes a collaborative and diverse culture with a great work/life balance, powered by people and driven by technology.

Requirements

Working knowledge of Microsoft Office (Word, Excel, Outlook)
Technical proficiency to work on multiple computer screens and software applications simultaneously
Ability to maintain strong performance in a fast-paced environment with productivity metrics
Ability to remain organized while multi-tasking
Use critical thinking and problem-solving skills to find effective and efficient solutions
Communicate clearly, both verbally and in writing
A private, distraction-free environment to work from in your home
On-Camera Presence: Being on camera is an essential part of our culture--it helps build trust, support collaboration, and strengthen team connections
A secure internet connection
Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads
The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive
Must reside in the United States

Nice To Haves

Experience with Coordination of Benefits
General understanding of insurance billing
An unnatural ability to put together a 1,000 piece puzzle in record time
Pride in solving the mystery on a TV crime show before the main character

Responsibilities

Make high-volume, outbound calls to investigate, bill, and maximize payments on medical claims to insurance companies.
Investigate and research details of an auto accident to determine the payer.
Make a high volume of outbound calls to patients, insurance company representatives, and attorneys.
Submit bills and proper documentation to the insurance company to ensure maximized payments.
Determine follow-up steps and resubmit bills for additional payment if bills are not paid correctly.
Contribute to the team with various denial reports, audits, and overall support.