Customer Operations (Workers Compensation Claims)

Revecore; Northern (KY); Hybrid; USD 21,000 - 30,000; Full time

Benefits offered by this job

Training program

Equipment provided

Remote work

Job summary

Revecore is seeking a Customer Operations professional for Workers' Compensation Claims. You will perform high-volume outbound calls to investigate, bill, and maximize payments on medical claims for hospitals and providers.

Training lasts 8–10 business days with hands-on activities and on-camera participation. You will submit bills to payers, review payer responses, and support client success through project tasks in a fast-paced environment.

Qualifications

• Strong communication and written skills; able to work in fast-paced setting.
• Proficient with Microsoft Office (Word, Excel, Outlook).
• Ability to multi-task across several screens and apps simultaneously.
• Demonstrated problem solving and critical thinking abilities.

Responsibilities

• Make high-volume outbound calls to investigate, bill, and maximize payments on medical claims.
• Submit bills and documentation to payers to maximize client payments.
• Review payer information to determine next steps for denied or troubled claims.
• Participate in special projects to help achieve client success.

Skills

Outbound calling

Communication skills

Multitasking

Problem solving

Critical thinking

Attention to detail

Tools

Microsoft Office

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.

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.

Revecore is an Affitative 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.