Health Claims Specialist

Revecore•Remote,

5d•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). 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. 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. Success starts with training. That's why we ask all new team members to be fully present each day, participate actively, and remain on camera. Revecore encourages our employees to be driven and highly motivated to be successful.

Requirements

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.
Familiarity with billing health insurance as part of auto accidents.
Experience working in EPIC.
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.
Must reside in the United States within one of the listed states: Alabama, Arkansas, Connecticut, Florida, Georgia, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Vermont, Virginia, West Virginia and Wisconsin.

Responsibilities

Bill and investigate health insurance claims to ensure maximum payment from insurance companies on behalf of our clients (hospitals and medical providers).
Investigate and research health insurance claims.
Follow up on unresolved claims to facilitate payment of claims for commercial health, Medicare, and Medicaid, ensuring maximized payments to our clients (medical providers).
Contribute to your team with various denial reports, audits, and overall support.
Conduct timely follow-up activities to determine claim status and collect and/or provide information to resolve the claim.