Health Claims Specialist

Revecore

5d • $18 • Remote

About The Position

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).

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, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, Ohio, Oklahoma, Pennsylvania, 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

• Paid training and incentive plans
• Medical, dental, vision, and life insurance benefits are available from the first day of employment
• Excellent work/life balance
• Employee Resource Groups build community and foster a culture of belonging and inclusion
• Match 401(k) contributions
• Career growth opportunities
• 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