Remote Health Claims Specialist - Medicare/Medicaid Focus

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

Job summary

Revecore is seeking a Health Claims Specialist to bill and investigate health insurance claims for hospitals and medical providers. This remote role requires reliable home office setup, on-camera participation, and strict eligibility to work in the U.S.

The position includes comprehensive 8–10 day training, access to a knowledgebase, and performance metrics to guide growth and success. A private, distraction-free home environment is required.

Qualifications

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

Responsibilities

• Bill and investigate health insurance claims to maximize payments for clients
• Follow up on unresolved claims to facilitate payment for commercial health, Medicare, and Medicaid
• Produce and analyze denial reports, audits, and support documentation
• Coordinate with teams to ensure accurate UB04/HCFA filing and subrogation information
• Maintain productivity metrics in a fast-paced environment

Skills

Claims research

Follow-up work

Microsoft Office

EPIC

Multitasking

Time management

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. This remote role requires reliable home office setup, on-camera participation, and strict eligibility to work in the U.S.

The position includes comprehensive 8–10 day training, access to a knowledgebase, and performance metrics to guide growth and success. A private, distraction-free home environment is required.