[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). Your responsibilities will include:

• Investigating and researching health insurance claims.
• Following up on unresolved claims to facilitate payment for commercial health, Medicare, and Medicaid.
• Contributing to your team with various denial reports, audits, and overall support.

Training:

• Comprehensive training begins on your first day and lasts 8-10 business days.
• Led by instructors with interactive discussions and hands-on activities.
• New team members are expected to be fully present, participate actively, and remain on camera.

Qualifications

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

Requirements

• A private, distraction-free environment to work within your home.
• On-Camera Presence: Being on camera is essential for building trust and collaboration.
• A secure internet connection.
• Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads.
• Workspace 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 specified states.

Benefits

• Extensive multi-week training with ongoing support from teammates.
• 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 supports your productivity metrics.

Company Description

At Revecore, our work helps hospitals recover the revenue they've earned so they can continue serving patients and communities. Trusted by more than 1,300 hospitals across 48 states, we combine specialized expertise with proprietary technology to solve problems others can't. We've built a workplace where people support one another, embrace innovation, and are trusted to do their best work.