Remote Health Claims Specialist – Training & Incentives

Revecore; Elm (PA); Remote; USD 20,000 - 28,000; Full time

Job summary

Revecore is seeking a Health Claims Specialist to bill and investigate insurance claims for hospitals and providers. You will maximize payments, perform detailed follow-ups, and support the team with denial reporting and audits while working remotely across the United States.

Training lasts 8-10 business days with hands-on activities; equipment is provided. A background in EPIC and MS Office helps ensure success in a fast-paced environment with strong productivity metrics.

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 payments for hospitals and medical providers.
• Follow up on unresolved claims to facilitate payment across commercial, Medicare, and Medicaid.
• Contribute to denial reports, audits, and team support.

Skills

Researching claims

UB04/HCFA filing

Auto accident billing familiarity

Follow-up investigations

EPIC experience

MS Office

Multi-monitor workflow

Fast-paced performance

Tools

EPIC

Job description

Revecore is seeking a Health Claims Specialist to bill and investigate insurance claims for hospitals and providers. You will maximize payments, perform detailed follow-ups, and support the team with denial reporting and audits while working remotely across the United States.

Training lasts 8-10 business days with hands-on activities; equipment is provided. A background in EPIC and MS Office helps ensure success in a fast-paced environment with strong productivity metrics.