[Hiring] Health Claims Specialist @Revecore

Role Description

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).
• Investigate and research health insurance claims.
• Follow up on unresolved claims to facilitate payment for commercial health, Medicare, and Medicaid.
• Contribute to your team with various denial reports, audits, and overall support.

Qualifications

• 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.
• 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.
• Experience working in EPIC.
• 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.

Requirements

• A private, distraction-free environment to work within your home.
• On-Camera Presence: Being on camera is an essential part of our culture.
• A secure internet connection.
• 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).
• 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 specified states.

Benefits

• Paid training and incentive plans.
• Medical, dental, vision, and life insurance benefits available on day 1.
• 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.