Health Claims Specialist

Revecore

92d • $17

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). 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.

Requirements

• Experience researching and resolving claims for commercial health, Medicare, and Medicaid.
• Knowledge of filing correct UB04's and 1500 HCFA's with subrogation information.
• Familiarity with billing health insurance as part of auto accidents.
• Conduct timely follow-up activities to determine claim status.
• Desire to grow a career.
• 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.

Responsibilities

• Investigate and research health insurance claims.
• Follow up on unresolved claims to facilitate payment.
• Ensure maximized payments to clients (medical providers).
• Contribute to denial reports and audits.
• Support overall team efforts.

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 1,001-5,000 employees