Health Claims Specialist

Revecore; Northern (KY); Remote; USD 36,000 - 48,000; Full time

Benefits offered by this job

Training provided

Equipment provided

Performance metrics visibility

Work from home

Job summary

Revecore is seeking a Health Claims Specialist to bill and investigate health insurance claims for hospitals and medical providers. You will maximize payments from insurers, work with commercial, Medicare, and Medicaid claims, and contribute to denial reports and audits.

The role offers an 8–10 day training, equipment provided, and a performance-driven environment. Candidates must reside in the United States and complete a background check.

Qualifications

• Experience researching and resolving claims for commercial health, Medicare, and Medicaid.
• Familiarity with filing UB04 and 1500 HCFA forms with subrogation information.
• Experience billing health insurance as part of auto accidents.
• Timely follow-up to determine claim status and resolution.

Responsibilities

• Bill and investigate health insurance claims to maximize payment for clients.
• Research and follow up on unresolved claims for commercial, Medicare, and Medicaid.
• Prepare and provide denial reports, audits, and supporting documentation.

Skills

Experience researching claims

Claim follow-up

Subrogation knowledge

Medical billing familiarity

EPIC experience

MS Office proficiency

Multitasking

Productivity under metrics

Tools

EPIC

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

$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. That's 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 UB04's and 1500 HCFA's 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 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 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.

Revecore is an Aff…

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