Health Claims Specialist

Department: Complex Claims

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: $17.50/hr + Incentive Plan

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). You will be busy investigating and researching health insurance claims, following up on unresolved claims to facilitate payment of claims for commercial health, Medicare, and Medicaid, ensuring maximized payments to our clients (medical providers). You will also contribute to your team with various denial reports, audits, and overall support.

Training

Our comprehensive training begins on your first day and lasts 8-10 business days. It is led by instructors and incorporates interactive discussions and hands-on activities to accommodate diverse learning preferences. Success starts with training. Thats why we ask all new team members to be fully present each day, participate actively, and remain on camera.

Revecore encourages our employees to be driven and highly motivated to be successful.

Qualifications

• Has experience researching and resolving claims for commercial health, Medicare, and Medicaid

• Knows how to file correct UB04s and 1500 HCFAs with subrogation information to payers for payment

• Having a 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

• Has experience working in EPIC

• 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

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 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, 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.