Auto Claims Specialist

🔥 12 hours ago

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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 on behalf of hospitals and medical providers • 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 medical-provider clients • Determine follow-up steps and resubmit incorrectly paid bills for additional payment • Contribute to denial reports, audits, and overall team support • Maintain accuracy and productivity standards while managing high-volume calls

🎯 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 multitasking • Critical thinking and problem-solving skills • Clear verbal and written communication • Experience with Coordination of Benefits and a general understanding of insurance billing is a plus, but not required • Private, distraction-free home work environment • Secure internet connection • Home internet speeds greater than 20 Mbps download and 10 Mbps upload • Workspace accommodating laptop, monitor, keyboard, mouse, docking station, and headset • Eligibility to work in the U.S. • Successful employment history verification and background check • Must reside in the United States in one of the listed eligible states • Active participation on camera during work • Full focus during scheduled work hours and ability to meet productivity expectations

🏖️ 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 arrangement • Revecore-provided laptop, monitor, keyboard, mouse, docking station, and headset

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