Health Claims Specialist

Revecore

1d • $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).

Training:
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.

Your Day:
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.

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

What This Job Offers

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