Claims Resolution Specialist

Department: Revenue Operations

Location: US-Remote

Employment Type: FullTime

At Revecore, our work helps hospitals recover the revenue theyve 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 cant. Just as importantly, weve built a workplace where people support one another, embrace innovation, and are trusted to do their best work.

Pay: $15/hr + Incentive Plan

As a Claims Resolution Auto Specialist at Revecore, youll make high-volume outbound calls to investigate, bill, and maximize insurance payments on behalf of our clients — hospitals and medical providers.

• Research and investigate auto accident details to determine the responsible payer

• Make frequent outbound calls to patients, insurance representatives, and attorneys to confirm payer information

• Submit accurate bills and documentation to insurance companies to ensure timely, maximized payments

• Investigate denied or underpaid claims, determine next steps, and resubmit for additional payment

• Support the team with denial reports, audits, and other special projects as needed

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, high outbound call center 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

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

How well set you up for success:

• 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

Work at Home Requirements:

• A private, distraction-free environment to work from in 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, Delaware, Florida, Georgia, Illinois, Iowa, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Michigan, Minnesota, Missouri, Mississippi, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota (CST Time Zone), Tennessee, Texas (CST Time Zone), Vermont, Virginia, Wisconsin, and West Virginia

## LI-DNI

Revecore is an Affirmative Action/Equal Opportunity Employer committed to providing equal employment opportunities for all applicants and employees. We make employment decisions without regard to any characteristic protected by applicable law and encourage individuals of all backgrounds to apply.

Employment is contingent upon eligibility to work in the United States, verification of employment history, and successful completion of a background check.