Remote Health Claims Specialist (Billing & Recovery)

Revecore; Accident (AR); Teletrabalho; USD 20 000 - 28 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Equipment provided

Resumo da oferta

Revecore is seeking a Health Claims Specialist to bill and investigate health insurance claims for hospitals and providers. You will follow up on unpaid or denied claims for commercial, Medicare, and Medicaid, ensuring maximum payments and accurate documentation.

Training lasts 8–10 business days, with equipment provided and remote work from home options. You will work in a fast-paced environment, using EPIC and Microsoft Office, performing timely follow-ups and producing denial reports while

Qualificações

• 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

Responsabilidades

• Bill and investigate health insurance claims to maximize payment for clients (hospitals and medical providers).
• Research and resolve claims for commercial health, Medicare, and Medicaid.
• Follow up on unresolved claims to facilitate payment.
• Prepare denial reports, audits, and provide team support.
• Utilize EPIC and MS Office tools to document actions and outcomes.
• Collaborate with payers to obtain necessary information for resolution.

Conhecimentos

Claims research & resolution

Auto accident billing familiarity

Follow-up & status checks

Multi-screen software use

EPIC experience

MS Office proficiency

High productivity in fast-paced work

Ferramentas

EPIC

Microsoft Office

Descrição da oferta de emprego

Revecore is seeking a Health Claims Specialist to bill and investigate health insurance claims for hospitals and providers. You will follow up on unpaid or denied claims for commercial, Medicare, and Medicaid, ensuring maximum payments and accurate documentation.

Training lasts 8–10 business days, with equipment provided and remote work from home options. You will work in a fast-paced environment, using EPIC and Microsoft Office, performing timely follow-ups and producing denial reports while