
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.
🔥 0 minutes ago
🏈 Alabama, Florida, +26 more states – Remote
💵 $15 / hour
⏰ Full Time
🟡 Mid-level
🟠 Senior
📋 Claims Specialist
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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.
• 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 • Contact patients, insurance company representatives, and attorneys through outbound calls • Submit bills and proper documentation to insurance companies • Determine follow-up steps and resubmit incorrectly paid bills for additional payment • Contribute to denial reports, audits, and overall team support • Maintain productivity and performance metrics in a high-volume call-center environment
• Working knowledge of Microsoft Office (Word, Excel, Outlook) • Technical proficiency working across 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 general understanding of insurance billing are 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 able to accommodate provided workstation equipment • Eligibility to work in the U.S. • Employment history verification and successful background check • Must reside in the United States in an approved state: Alabama, Arkansas, Delaware, Florida, Georgia, Illinois, Iowa, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Michigan, Minnesota, Missouri, Mississippi, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Vermont, Virginia, Wisconsin, or West Virginia
• Comprehensive health coverage • 401(k) match • Paid training • Generous PTO • Paid holidays • Extensive multi-week training with ongoing support from teammates • 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 • Incentive Plan
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