Remote Health Claims Specialist (Medicare/Medicaid)

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

Benefits offered by this job

Computers provided

Training program

Supportive management

Remote work

Job summary

Revecore is seeking a Health Claims Specialist to bill and investigate health insurance claims for hospitals and medical providers, ensuring maximum payment from commercial insurers, Medicare, and Medicaid. This remote role requires residency in the United States and eligibility to work in the U.S.

Training lasts 8–10 business days with hands-on activities and a knowledgebase, plus ongoing support. The role emphasizes a fast-paced, metric-driven environment and uses EPIC and Microsoft Office.

Qualifications

• 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

Responsibilities

• 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

Skills

Claims research

Follow-up

Productivity metrics

Fast-paced environment

Multi-tasking

Team collaboration

Tools

EPIC

Microsoft Office

Job description

Revecore is seeking a Health Claims Specialist to bill and investigate health insurance claims for hospitals and medical providers, ensuring maximum payment from commercial insurers, Medicare, and Medicaid. This remote role requires residency in the United States and eligibility to work in the U.S.

Training lasts 8–10 business days with hands-on activities and a knowledgebase, plus ongoing support. The role emphasizes a fast-paced, metric-driven environment and uses EPIC and Microsoft Office.