Health Claims Specialist

Revecore

24d•$18•Remote

About The Position

Ready to make a difference for hospitals while working from home? 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 Health Claims Specialist at Revecore, you will bill and investigate health insurance claims to ensure maximum payment from insurance companies on behalf of our clients (hospitals and medical providers). Our comprehensive training begins on your first day and lasts 8-10 business days. It is led by instructors and incorporates interactive discussions and hands-on activities to accommodate diverse learning preferences. You will be busy investigating and researching health insurance claims, following up on unresolved claims to facilitate payment of claims for commercial health, Medicare, and Medicaid, ensuring maximized payments to our clients (medical providers). You will also contribute to your team with various denial reports, audits, and overall support. How we'll set you up for success: 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.

Requirements

Has experience researching and resolving claims for commercial health, Medicare, and Medicaid.
Knows how to file correct UB04's and 1500 HCFA's with subrogation information to payers for payment.
Having a familiarity with billing health insurance as part of auto accidents.
Conducts timely follow-up activities to determine claim status and collect and/or provide information to resolve the claim.
Wants to grow a career
Has experience working in EPIC
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
A quiet, distraction-free environment to work from in your home.
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, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Maine, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Virginia, Wisconsin, and West Virginia

Responsibilities

Investigating and researching health insurance claims
Following up on unresolved claims to facilitate payment of claims for commercial health, Medicare, and Medicaid
Ensuring maximized payments to our clients (medical providers)
Contributing to your team with various denial reports, audits, and overall support

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

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