Remote Health Claims Specialist

Revecore; Kentucky; Remote; USD 20,000 - 28,000; Full time

Benefits offered by this job

Training program

Equipment provided

Access to knowledgebase

Job summary

Revecore is hiring a Health Claims Specialist for remote work in the United States. You will bill and investigate health insurance claims for hospitals and providers, ensuring maximum payment from insurers across commercial, Medicare, and Medicaid lines.

The role includes extensive training (8–10 business days), access to a knowledgebase, and clear performance metrics. You will work from home with provided equipment, and must reside in the listed US states.

Qualifications

• Has experience researching and resolving claims for commercial health, Medicare, and Medicaid
• Knows how to file correct UB04s and 1500 HCFA forms with subrogation information to payers for payment
• Having 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

Responsibilities

• Bill and investigate health insurance claims to maximize payments for clients
• Research unresolved claims and facilitate payment of commercial health, Medicare, and Medicaid claims
• Prepare denial reports, audits, and provide overall support to the team
• Follow up on claim status and provide information to resolve claims
• Operate EPIC and Microsoft Office tools effectively
• Maintain productivity in a fast-paced environment with clear metrics

Skills

Claim research

UB04s & HCFA 1500

Follow-up activities

EPIC experience

Microsoft Office

Multi-screen workflow

High productivity metrics

Tools

EPIC

Microsoft Office

Job description

Revecore is hiring a Health Claims Specialist for remote work in the United States. You will bill and investigate health insurance claims for hospitals and providers, ensuring maximum payment from insurers across commercial, Medicare, and Medicaid lines.

The role includes extensive training (8–10 business days), access to a knowledgebase, and clear performance metrics. You will work from home with provided equipment, and must reside in the listed US states.