Health Claims Specialist

Revecore; United States; À distance; USD 21 000 - 28 000; Plein temps

Avantages offerts par ce poste

Paid training

Insurance on day 1 (Medical, Dental, V

Vision

Résumé du poste

Revecore is seeking a Health Claims Specialist to join our remote US team. You will bill and investigate health insurance claims for hospitals and providers, ensuring maximum payments from commercial insurers, Medicare, and Medicaid.

You’ll also contribute to denial reports, audits, and team support while meeting productivity metrics. Our comprehensive training lasts 8–10 business days, and benefits start on day one, with a strong emphasis on work-life balance and growth opportunities within a

Qualifications

• Experience researching and resolving claims for commercial health, Medicare, and Medicaid.
• Filing UB04s and 1500 HCFA forms with subrogation info.
• Experience billing health insurance in auto accident claims.
• Timely follow-up to determine claim status and resolve claims.
• Experience using EPIC.
• Working knowledge of Word, Excel, Outlook.
• Ability to multitask across screens and software.
• Maintain productivity in a fast-paced environment.

Responsabilités

• Bill and investigate health insurance claims for clients (hospitals and providers).
• Follow up on unresolved claims to facilitate payment from commercial insurers, Medicare, and Medicaid.
• Generate denial reports, audits, and provide team support.
• Maintain accuracy and timeliness to maximize client payments.

Connaissances

Claims research

Follow-up diligence

Communication

Multitasking

Attention to detail

Outils

EPIC

Microsoft Office

Description du poste

Preferred Locations

Remote, United States

Job Description

Our Company

Start your next chapter at Revecore! For over 25 years, Revecore has been at the forefront of specialized claims management, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities. We're powered by people, driven by technology, and dedicated to our clients and employees. If you're looking for a collaborative and diverse culture with a great work/life balance, look no further.

Why Revecore?

• We offer paid training and incentive plans
• Our medical, dental, vision, and life insurance benefits are available on day 1
• We enjoy excellent work/life balance
• Our Employee Resource Groups build community and foster a culture of belonging and inclusion
• We match 401(k) contributions
• We offer career growth opportunities
• We celebrate 12 paid holidays and generous paid time off

Location: US-Remote

Pay: $17.50/hr

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

Revecore is an affirmative action-equal opportunity employer that does not discriminate based on race, color, religion, sex or gender, gender identity or expression, sexual orientation, national origin, age, disability status, veteran status, genetic information, or any other legally protected status.

We believe that a diverse workforce fosters innovation and creativity, enriches our culture, and enables us to better serve the needs of our clients and communities. We welcome and encourage individuals of all backgrounds, perspectives, and abilities to apply.

Must reside in the United Stateswithin one of the states listed below:

Alabama, Arkansas, Connecticut, Florida, Georgia, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Vermont, Virginia, West Virginia and Wisconsin