Remote Health Claims Specialist (Medicare/Medicaid)

Revecore; Athens (GA); À distance; USD 21 000 - 28 000; Plein temps

Avantages offerts par ce poste

Incentive plan

Résumé du poste

Revecore is hiring a Health Claims Specialist to bill and investigate health insurance claims for hospitals and providers. You will ensure maximum payments from commercial health, Medicare, and Medicaid while supporting the team with denial reports and audits.

You will undergo comprehensive training, work remotely, and be provided with equipment. The role emphasizes accuracy, timely follow-up, and collaboration in a fast-paced environment.

Qualifications

• Experience researching and resolving claims for commercial health, Medicare, and Medicaid.
• Filing UB04s and 1500 HCFA's with subrogation information to payers for payment.
• Familiarity with billing health insurance as part of auto accidents.
• Timely follow-up activities to determine claim status and resolve the claim.
• Experience working in EPIC.
• Working knowledge of Microsoft Office (Word, Excel, Outlook).
• Technical proficiency to work on multiple screens and software.
• Maintain strong performance in a fast-paced environment with metrics.

Responsabilités

• Bill and investigate health insurance claims to ensure maximum payment for clients.
• Research and follow up on unresolved claims to facilitate payment across commercial, Medicare, and Medicaid.
• Contribute to denial reports, audits, and overall team support.

Connaissances

Research claims

Follow-up investigations

Multitasking

Communication skills

Outils

EPIC

MS Office

UB04/HCFA filing

Description du poste

Revecore is hiring a Health Claims Specialist to bill and investigate health insurance claims for hospitals and providers. You will ensure maximum payments from commercial health, Medicare, and Medicaid while supporting the team with denial reports and audits.

You will undergo comprehensive training, work remotely, and be provided with equipment. The role emphasizes accuracy, timely follow-up, and collaboration in a fast-paced environment.