Remote Health Claims Specialist (Disability)

Revecore; Beryl (WV); Remote; USD 21,000 - 28,000; Full time

Job summary

Revecore is hiring a Health Claims Specialist to bill and investigate health insurance claims for hospitals and medical providers. The role emphasizes following up on unresolved claims to maximize payments across commercial, Medicare, and Medicaid, with a focus on accurate UB04/HCFA filing and subrogation where needed.

The position includes comprehensive training and is remote, requiring a private home setup and eligibility to work in the U.S.

Qualifications

• Experience researching and resolving claims for commercial health, Medicare, and Medicaid.
• Familiar with filing UB04s and 1500 HCFA forms with subrogation information.
• Experience using EPIC for healthcare claims processing.
• Able to use Microsoft Office (Word, Excel, Outlook) effectively.

Responsibilities

• Bill and investigate health insurance claims to maximize payments for hospitals and providers.
• Follow up on unresolved claims to facilitate payment for commercial, Medicare and Medicaid.
• Produce denial reports, audits, and provide overall support to the team.

Skills

EPIC

Microsoft Office

Multitasking

Fast-paced environment

Tools

UB04 filing

HCFA 1500

Job description

Revecore is hiring a Health Claims Specialist to bill and investigate health insurance claims for hospitals and medical providers. The role emphasizes following up on unresolved claims to maximize payments across commercial, Medicare, and Medicaid, with a focus on accurate UB04/HCFA filing and subrogation where needed.

The position includes comprehensive training and is remote, requiring a private home setup and eligibility to work in the U.S.