Revecore

Revecore has been at the forefront of specialized claims management, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities. We’re powered by people, driven by technology, and dedicated to our clients and employees. If you’re looking for a collaborative and diverse culture with a great work/life balance, look no further.

Health Claims Specialist

Claims SpecialistClaims SpecialistFull TimeRemoteTeam 620Company Site

Location

United States

Posted

14 days ago

Salary

Not specified

No structured requirement data.

Job Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

As a Health Claims Specialist at Revecore, you will bill and investigate health insurance claims to ensure maximum payment from insurance companies on behalf of our clients (hospitals and medical providers).

  • Investigate and research health insurance claims
  • Follow up on unresolved claims to facilitate payment for commercial health, Medicare, and Medicaid
  • Ensure maximized payments to our clients (medical providers)
  • Contribute to your team with various denial reports, audits, and overall support

Qualifications

  • Experience researching and resolving claims for commercial health, Medicare, and Medicaid
  • Knowledge of filing correct UB04's and 1500 HCFA's with subrogation information to payers
  • Familiarity with billing health insurance as part of auto accidents
  • Experience working in EPIC
  • Working knowledge of Microsoft Office (Word, Excel, Outlook)
  • Technical proficiency to work on multiple computer screens and software applications simultaneously
  • Ability to maintain strong performance in a fast-paced environment with productivity metrics

Requirements

  • A quiet, distraction-free environment to work from in your home
  • A secure internet connection is required
  • Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads
  • Workspace area accommodates all workstation equipment and related materials
  • Must reside in the United States within specified states

Benefits

  • Paid training and incentive plans
  • Medical, dental, vision, and life insurance benefits available from the first day of employment
  • Excellent work/life balance
  • Employee Resource Groups build community and foster a culture of belonging and inclusion
  • 401(k) contributions matched
  • Career growth opportunities
  • 12 paid holidays and generous paid time off

Job Requirements

  • Experience researching and resolving claims for commercial health, Medicare, and Medicaid
  • Knowledge of filing correct UB04's and 1500 HCFA's with subrogation information to payers
  • Familiarity with billing health insurance as part of auto accidents
  • Experience working in EPIC
  • Working knowledge of Microsoft Office (Word, Excel, Outlook)
  • Technical proficiency to work on multiple computer screens and software applications simultaneously
  • Ability to maintain strong performance in a fast-paced environment with productivity metrics
  • A quiet, distraction-free environment to work from in your home
  • A secure internet connection is required
  • Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads
  • Workspace area accommodates all workstation equipment and related materials
  • Must reside in the United States within specified states

Benefits

  • Paid training and incentive plans
  • Medical, dental, vision, and life insurance benefits available from the first day of employment
  • Excellent work/life balance
  • Employee Resource Groups build community and foster a culture of belonging and inclusion
  • 401(k) contributions matched
  • Career growth opportunities
  • 12 paid holidays and generous paid time off

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