Customer Operations (Workers Compensation Claims)

Revecore

4d • Remote

About The Position

At Revecore, our work helps hospitals recover the revenue they've earned so they can continue serving patients and communities. Trusted by more than 1,300 hospitals across 48 states, we combine specialized expertise with proprietary technology to solve problems others can't. Just as importantly, we've built a workplace where people support one another, embrace innovation, and are trusted to do their best work.

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).

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
• Critical thinking and problem-solving skills to find effective and efficient solutions
• Ability to communicate clearly and professionally, 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 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, Connecticut, Florida, Georgia, Iowa, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Michigan, Minnesota, Missouri, Mississippi, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota (CST Time Zone), Tennessee, Texas (CST Time Zone), Vermont, Virginia, Wisconsin, and West Virginia.

Nice To Haves

• Experience with Coordination of Benefits and a general understanding of insurance billing (a plus, but not required)
• 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

Responsibilities

• 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).
• Investigate and resolve troubled and/or denied workers' compensation claims.
• Make a high volume of outbound calls to patient employers, insurance company representatives, attorneys and patients.
• Submit bills and proper documentation to the insurance company, or the appropriate payer, ensuring maximized payments to our clients (medical providers).
• Review information/documentation provided by the payer in order to determine what to do next if bills aren't paid correctly.
• Contribute to your team by participating in special projects in order to achieve goals and ensure client success.

Benefits

• Incentive Plan
• Extensive multi-week training with ongoing support from teammates following training.
• Access to a robust knowledgebase for continued reference in your role.
• Visibility to your individual performance metrics enables you to set goals.
• Computers and necessary work equipment are provided
• Involved management who leans in to support your productivity metrics.

What This Job Offers

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