Auto Claims Specialist

🔥 0 minutes ago

Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of Revecore

Revecore

1001 - 5000 employees

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

Revecore is a healthcare revenue recovery company that combines proprietary AI, claims intelligence, workflow automation, and clinical, legal, and reimbursement expertise to identify and recover missed revenue for hospitals and health systems. Their ReClaim™ platform and network intelligence use machine-learning models and payor rule engines trained on hundreds of millions of claims to automate decisioning, prioritize recoveries, manage complex claims (VA, auto accidents, workers' compensation, Medicaid), denials management, underpayment recovery, and accounts receivable acceleration. Revecore operates HIPAA-compliant, SOC 2-certified infrastructure and serves over 1,300 hospitals, emphasizing outcomes like increased reimbursement, faster reimbursement, and high denial overturn rates.

📋 Description

• Make high-volume outbound calls to investigate, bill, and maximize payments on medical claims to insurance companies • Investigate and research auto-accident details to determine the payer • Make outbound calls to patients, insurance company representatives, and attorneys • Submit bills and proper documentation to insurance companies • Ensure maximized payments to hospital and medical-provider clients • Determine follow-up steps and resubmit bills for additional payment when bills are not paid correctly • Contribute to denial reports, audits, and overall team support

🎯 Requirements

• 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, high outbound call center environment with productivity metrics • Ability to remain organized while multi-tasking • Critical thinking and problem-solving skills • Clear verbal and written communication • Experience with Coordination of Benefits and general understanding of insurance billing is a plus, but not required • Private, distraction-free home work environment • On-camera presence during work • Secure internet connection • Home internet speeds greater than 20 Mbps download and 10 Mbps upload • Workspace capable of accommodating provided workstation equipment • Eligibility to work in the U.S. • Employment history verification and successful background check • Must reside in the United States in one of the approved states listed in the posting

🏖️ Benefits

• Incentive Plan • Extensive multi-week training with ongoing support from teammates following training • Access to a robust knowledgebase for continued reference • Visibility to individual performance metrics for goal setting • Computers and necessary work equipment provided • Involved management support • Remote work from home • Revecore-provided laptop, monitor, keyboard, mouse, docking station, and headset

Apply Now

Similar Jobs

🔥 19 minutes ago

W. R. Berkley Corporation

5001 - 10000

🛡️ Insurance

💸 Finance

🤝 B2B

Senior claims representative investigating and resolving California workers’ compensation claims for BerkleyNet. Managing reserves, litigation, settlements, medical treatment, and regulatory compliance.

🕒 2 days ago

Security Mutual Life Insurance Company of New York

201 - 500

🛡️ Insurance

💸 Finance

Claims examiner processing disability and life insurance claims for Security Mutual Life. Reviewing eligibility, investigating claims, and managing payment or denial decisions.

🕒 2 days ago

Security Mutual Life Insurance Company of New York

201 - 500

🛡️ Insurance

⚕️ Healthcare Insurance

💸 Finance

Claims examiner processing life insurance and disability claims for Security Mutual Life. Reviewing eligibility, investigating claims, and guiding policyholders through resolution.

🕒 2 days ago

Trillium Health Resources

1001 - 5000

🏥 Healthcare

💼 Consulting

📦 Logistics

Claims Specialist II auditing and adjudicating claims for Trillium Health Resources, a North Carolina behavioral-health managed-care organization. Supporting providers and resolving billing errors.

🇺🇸 United States – Remote

💵 $42.8k - $61.5k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 No degree required

🕒 2 days ago

Baltimore Aircoil Company

1001 - 5000

🏭 Manufacturing

⚡ Energy

Claims Processor researching, coding, and resolving healthcare claims for BAC Enterprises. Maintaining accurate records while supporting innovative services for individuals with disabilities.