Customer Operations (Workers Compensation Claims)

Revecore; Missouri; Remote; USD 17,000 - 24,000; Full time

Benefits offered by this job

Computers provided

Extensive training program

Knowledgebase access

Job summary

Revecore, a company that helps hospitals recover revenue, is seeking a Customer Operations specialist for Workers' Compensation Claims. You will conduct outbound calls to investigate, bill, and maximize payments on medical claims for hospitals and providers.

The role includes comprehensive training (8–10 days), remote work from the United States, and the use of Microsoft Office and multiple software applications. You will work in a fast-paced environment with performance metrics and incentives.

Qualifications

• Experience with Coordination of Benefits and insurance billing.
• Proficient with Microsoft Office (Word, Excel, Outlook).
• Ability to handle high outbound-call volume and meet productivity metrics.
• Strong written and verbal communication.
• Well-organized, detail-oriented, and able to multitask.

Responsibilities

• Make high-volume outbound calls to investigate and bill workers' compensation claims.
• Submit bills and documentation to payers with the goal of maximizing payments.
• Review payer responses and adjust actions as needed.
• Contribute to special projects to meet team goals.

Skills

Critical thinking

Problem solving

Communication skills

Organizational skills

Multi-tasking

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

CRM software

Multi-monitor setup

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.

Pay: $15/hr + Incentive Plan

The Role: Customer Operations (Workers Compensation Claims)

As a Workers' Compensation Claims billing specialist at Revecore, you will make high-volume, outbound calls to investigate, bill, and maximize payments on medical claims to insurance companies, on behalf of our clients (hospitals and medical providers).

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 . That's why we ask all new team members to be fully present each day , participate actively , and remain on camera.

Your Day:

You will be busy investigating and resolving troubled and/or denied workers' compensation claims. This will require a high volume of outbound calls to patient employers, insurance company representatives, attorneys and patients. Once confirmed, you will submit the bills and proper documentation to the insurance company, or the appropriate payer, ensuring maximized payments to our clients (medical providers). If the bills aren't paid correctly, you will review the information/documentation provided by the payer in order to determine what to do next. You will also contribute to your team by participating in special projects in order to achieve goals and ensure client success.

Is this role for you?

Revecore encourages our employees to be driven and highly motivated to be successful. Consider this role if you:

• Want to grow a career
• 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
• Remain organized while multi-tasking
• Use critical thinking and problem-solving skills to find effective and efficient solutions
• Communicate clearly and professionally, both verbally and in writing
• Have an unnatural ability to put together a 1,000 piece puzzle in record time
• Take pride in solving the mystery on a TV crime show before the main character
• Have experience with Coordination of Benefits and a general understanding of insurance billing (a plus, 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 is required.
• Home internet with speeds 20 Mbps for downloads and 10 Mbps for uploads.
• The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive.

Location: Remote

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
• West Virginia

#LI-DNI

Revecore is an Affir... 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.