Client Operations Specialist

🔥 13 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

• Coordinate between operations and Revecore’s clients to complete agreed client tasks • Obtain necessary documents, information, and account placements • Maintain and facilitate working relationships to positively impact claims resolution • Promptly resolve client and Revecore operations phone calls and emails, with an initial reply within 24 hours • Use internal tools effectively to resolve client needs and reduce questions sent to clients • Escalate applicable items to the CS VP • Participate in monthly or quarterly client calls to facilitate rapport and processes • Navigate healthcare software systems to complete agreed tasks, including Close & Return, New Insurance, Timely Filing, Reconciliation, ICD-10 Code Sweep Report, and Work Queues • Coordinate with client staff to resolve requests and obtain documentation to progress accounts • Organize and maintain current documentation regarding client access and client-specific protocols and processes • Assist in training new COSs during onboarding • Maintain internal documentation of specific client processes

🎯 Requirements

• 3-5 years of client-facing experience • 3-5 years of experience in client systems • Directly related complex claims experience • Proven ability to communicate effectively verbally and in writing with clients, team members, and other departments • Exceptional follow-through abilities • Detail-oriented • Ability to work effectively with all levels and build new relationships • Must reside in the United States within one of the listed states • Eligibility to work in the United States • Successful completion of a background check • Ability to work from a quiet, distraction-free home environment • Secure home internet connection with speeds >20 Mbps for downloads and >10 Mbps for uploads • Work area accommodating workstation equipment and related materials

🏖️ Benefits

• Work-from-home arrangement • Quiet, distraction-free home work environment • Secure home internet connection with speeds >20 Mbps download and >10 Mbps upload • Workspace accommodating workstation equipment and related materials • Affirmative Action/Equal Opportunity employment commitment

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