Remote Health Claims Specialist: Insurance Billing Expert

Revecore; Pennsylvania; Remote; USD 20.000 - 28.000; Vollzeit

Benefits dieser Stelle

Remote work

Training program

Equipment provided

Zusammenfassung

Revecore is seeking a Health Claims Specialist to bill and investigate health insurance claims for hospitals and providers. The role includes resolving claims for commercial health, Medicare, and Medicaid, with emphasis on maximizing payments and timely follow-up.

Training lasts 8-10 business days, and a remote work setup is required with equipment provided. The position requires familiarity with UB04/HCFA filing, EPIC, and Microsoft Office, plus a strong ability to multitask in a fast-paced

Qualifikationen

• Experience researching and resolving claims for commercial health, Medicare, and Medicaid.
• Ability to file correct UB04 and 1500 HCFA forms with subrogation information.
• Familiarity with billing health insurance as part of auto accidents.
• Conducts timely follow-up activities to determine claim status and resolve the claim.
• Experience working in EPIC and proficient with Microsoft Office (Word, Excel, Outlook).

Aufgaben

• Bill and investigate health insurance claims to maximize payment for clients.
• Follow up on unresolved claims to facilitate payment for commercial health, Medicare, and Medicaid.
• Prepare denial reports, audits, and provide overall support to the team.
• Maintain accuracy and efficiency in a fast-paced environment with productivity metrics.
• Use multiple software applications concurrently to manage claims.

Kenntnisse

Claim research

UB04/HCFA filing

Auto insurance billing

Follow-up & resolution

EPIC

Microsoft Office

Multitasking

Performance metrics

Tools

EPIC

Microsoft Office

Jobbeschreibung

Revecore is seeking a Health Claims Specialist to bill and investigate health insurance claims for hospitals and providers. The role includes resolving claims for commercial health, Medicare, and Medicaid, with emphasis on maximizing payments and timely follow-up.

Training lasts 8-10 business days, and a remote work setup is required with equipment provided. The position requires familiarity with UB04/HCFA filing, EPIC, and Microsoft Office, plus a strong ability to multitask in a fast-paced