Workers Compensation Claims Specialist

Revecore • Remote,

4d • Remote

About The Position

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 Workers' Compensation Claims billing specialist at Revecore, you will make high-volume, outbound calls to investigate, bill, and maximize payments on medical claims to insurance companies, on behalf of our clients (hospitals and medical providers).

You will be busy investigating and resolving problemed and/or denied workers' compensation claims. This will require a high volume of outbound calls to patient employers, insurance company representatives, attorneys and patients. Once confirmed, you will submit the bills and proper documentation to the insurance company, or the appropriate payer, ensuring maximized payments to our clients (medical providers). If the bills aren't paid correctly, you will review the information/documentation provided by the payer to determine what to do next. You will also contribute to your team by participating in special projects to achieve goals and ensure client success.

Requirements

• 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
• A private, distraction-free environment to work from within your home
• On-camera presence: Being on camera is an essential part of our culture - it helps build trust, support collaboration, and strengthen team connections
• A secure internet connection
• Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads
• Revecore will provide you with your equipment - your workspace area must accommodate all workstation equipment (laptop, monitor, keyboard, mouse, docking station, and headset)
• Employment is contingent upon eligibility to work in the U.S., employment history verification, and a background check.
• Must reside in the United States within one of the states listed below: 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

Nice To Haves

• Have experience with Coordination of Benefits and a general understanding of insurance billing (a plus, but not required)

Responsibilities

• 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
• Remain organized while multi-tasking
• Use critical thinking and problem-solving skills to find effective and efficient solutions
• Communicate clearly, both verbally and in writing
• Possess an investigative mindset

Benefits

• paid training
• incentive plans
• medical, dental, vision, and life insurance benefits are available on day 1
• excellent work/life balance
• Employee Resource Groups build community and foster a culture of belonging and inclusion
• 401(k) contributions match
• 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