Billing Advocate

Openkrill; United States; Remote; USD 42,000 - 62,000; Full time

Job summary

Revecore is seeking a Billing Advocate to efficiently process medical claims and pursue accurate payment from insurers. The role emphasizes timely submissions, payer follow-ups, and resolving denials to support hospital revenue cycles.

You'll engage with insurance companies, hospital staff, and patients over the phone and email, balancing a high-volume workload while maintaining accuracy and compliance. A customer-service mindset is essential.

Qualifications

• Prior experience with insurance claims is preferred but not required.
• Prior experience in an administrative or clerical role in an office environment preferred
• Minimum of one year experience in office setting
• Minimum one year experience with customer service

Responsibilities

• Submit on a timely basis to insurance companies' medical claims for processing.
• Follow up with all payers to validate submission of hospital or physician status forms within adjudication process.
• Follow up on unpaid claims within standard billing cycle time frames.
• Call insurance companies regarding payments and denials to check on status and obtain EOBs.
• Identify and bill secondary or tertiary insurances.
• Answer all patient or insurance company telephone inquiries pertaining to assigned accounts.
• Balance new work and follow up accounts within workload.

Skills

High volume accounts

Investigative skills

Problem solving

Attention to detail

Organization

Time management

Phone communication

Written communication

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job 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. Just as importantly, we've built a workplace where people support one another, embrace innovation, and are trusted to do their best work.

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Position Summary

The Billing Advocate is responsible for the timely processing and follow-up on medical claims submitted to insurance companies and other entities for payment.

Key Responsibilities

• - Submit on a timely basis to insurance companies' medical claims for processing.
• - Follow up with all payers to validate submission of hospital or physician status forms within adjudication process.
• - Follow up on unpaid claims within standard billing cycle time frames.
• - Call insurance companies regarding payments and denials to check on status and obtain EOBs.
• - Identify and bill secondary or tertiary insurances.
• - Answer all patient or insurance company telephone inquiries pertaining to assigned accounts.
• - Balance new work and follow up accounts within workload.

Work Experience & Skills

• - Prior experience with insurance claims is preferred but not required
• - Prior experience in an administrative or clerical role in an office environment preferred
• - Minimum of one year experience in office setting
• - Minimum one year experience with customer service

Knowledge, Skills, Abilities and Competencies:

• - Consistent ability to work with a high volume of accounts
• - Focused and self-motivated
• - Excellent investigative and problem-solving abilities
• - Close attention to detail and accuracy
• - Exceptional organization, time management, prioritization skills
• - Ability to communicate effectively over the telephone and in writing
• - Ability to contribute in a positive manner
• - Proficient using Microsoft office products such as Word, Excel, Outlook
• - Knowledge of Healthcare Terminology preferred but not required

How we'll 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

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.