Workers Compensation Claims Specialist

Revecore • Remote,

15h • 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

• 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
• 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
• A private, distraction-free environment to work from within your home
• Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads
• Workspace area must accommodate all workstation equipment (laptop, monitor, keyboard, mouse, docking station, and headset)

Nice To Haves

• Experience with Coordination of Benefits and a general understanding of insurance billing

Responsibilities

• 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).
• Investigate and resolve problemed and/or denied workers' compensation claims.
• Make a high volume of outbound calls to patient employers, insurance company representatives, attorneys and patients.
• Submit bills and proper documentation to the insurance company, or the appropriate payer, ensuring maximized payments to our clients (medical providers).
• Review information/documentation provided by the payer to determine next steps if bills aren't paid correctly.
• Participate in special projects to achieve goals and ensure client success.

Benefits

• $15/hr compensation with eligibility for a quarterly incentive
• 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 are matched
• 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