Customer Operations (Workers Compensation Claims)

Revecore

2d • $15 • Remote

About The Position

Start your next chapter at Revecore! For over 25 years, Revecore has been at the
forefront of specialized claims management, helping healthcare providers recover
meaningful revenue to enhance quality patient care in their communities. We're
powered by people, driven by technology, and dedicated to our clients and
employees. If you're looking for a collaborative and diverse culture with a
great work/life balance, look no further.

As a Workers' Compensation Claims billing specialist at Revecore, you will make
high-volume, outbound calls to investigate, bill, and maximize payments on
medical claims to insurance companies, on behalf of our clients (hospitals and
medical providers).

You will be busy investigating and resolving troubled and/or denied workers'
compensation claims. This will require a high volume of outbound calls to
patient employers, insurance company representatives, attorneys and patients.
Once confirmed, you will submit the bills and proper documentation to the
insurance company, or the appropriate payer, ensuring maximized payments to our
clients (medical providers). If the bills aren't paid correctly, you will review
the information/documentation provided by the payer in order to determine what
to do next. You will also contribute to your team by participating in special
projects in order to achieve goals and ensure client success.

Requirements

• Have a working knowledge of Microsoft Office (Word, Excel, Outlook)
• Possess technical proficiency to work on multiple computer screens and software applications simultaneously
• Can maintain strong performance in a fast-paced environment with productivity metrics
• Remain organized while multi-tasking
• Use critical thinking and problem-solving skills to find effective and efficient solutions
• Communicate clearly and professionally, both verbally and in writing
• Have an unnatural ability to put together a 1,000 piece puzzle in record time
• Take pride in solving the mystery on a TV crime show before the main character
• 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 is required.
• 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 within one of the states listed below: Alabama, Arkansas, Delaware, Florida, Georgia, Iowa, Indiana, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Virginia, Wisconsin, and West Virginia

Nice To Haves

• Have experience with Coordination of Benefits and a general understanding of insurance billing

Responsibilities

• Investigating and resolving troubled and/or denied workers' compensation claims
• Making a high volume of outbound calls to patient employers, insurance company representatives, attorneys and patients
• Submitting bills and proper documentation to the insurance company, or the appropriate payer, ensuring maximized payments to our clients (medical providers)
• Reviewing information/documentation provided by the payer in order to determine what to do next if bills aren't paid correctly
• Participating in special projects in order to achieve goals and ensure client success

Benefits

• We offer paid training and incentive plans
• Our medical, dental, vision, and life insurance benefits are available from the first day of employment
• We enjoy excellent work/life balance
• Our Employee Resource Groups build community and foster a culture of belonging and inclusion
• We match 401(k) contributions
• We offer career growth opportunities
• We celebrate 12 paid holidays and generous paid time off

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed