
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.
🔥 1 minute ago
🏈 Alabama, Florida, +26 more states – Remote
⏰ Full Time
🟢 Junior
🚫👨🎓 No degree required
👻 Ghost score 10%
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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.
• Process medical claims submitted to insurance companies and other entities for payment • Submit medical claims to insurance companies on a timely basis • Follow up with payers to validate hospital or physician status forms during adjudication • Follow up on unpaid claims within standard billing cycle time frames • Call insurance companies regarding payments and denials, check claim status, and obtain EOBs • Identify and bill secondary or tertiary insurance providers • Answer patient and insurance company telephone inquiries for assigned accounts • Balance new work and follow-up accounts within the workload
• Prior experience with insurance claims preferred but not required • Prior experience in an administrative or clerical office role preferred • Minimum one year of experience in an office setting • Minimum one year of customer service experience • Ability to work with a high volume of accounts • Excellent investigative and problem-solving abilities • Close attention to detail and accuracy • Strong organization, time management, and prioritization skills • Ability to communicate effectively by telephone and in writing • Proficiency with Microsoft Office products such as Word, Excel, and Outlook • Knowledge of healthcare terminology preferred but not required • Private, distraction-free home working environment • Secure internet connection with download speeds above 20 Mbps and upload speeds above 10 Mbps • Workspace accommodating all provided workstation equipment • Eligibility to work in the United States • Successful employment history verification and background check
• 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 for productivity metrics • Remote work arrangement • Revecore-provided laptop, monitor, keyboard, mouse, docking station, and headset
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