Customer Operations – Workers Compensation Claims

Job not on LinkedIn

🔥 44 minutes ago

🏈 Alabama, Connecticut, +26 more states – Remote

🏈 Alabama – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🌾 Nebraska – Remote 🗻 New Hampshire – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

💵 $15 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

👻 Ghost score 0%

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Revecore

WebsiteLinkedInAll Job Openings

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 for hospitals and medical providers • Investigate and resolve troubled and/or denied workers' compensation claims • Contact patient employers, insurance company representatives, attorneys, and patients • Submit bills and proper documentation to insurance companies or appropriate payers • Review payer information and documentation when bills are not paid correctly • Determine appropriate next steps for underpaid or incorrectly paid bills • Participate in special projects to achieve goals and ensure client success

🎯 Requirements

• Must reside in the United States within one of the listed eligible states • Eligibility to work in the United States • Successful completion of a background check • 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 environment with productivity metrics • Ability to remain organized while multitasking • Critical thinking and problem-solving skills • Clear and professional verbal and written communication • Experience with Coordination of Benefits and a general understanding of insurance billing are a plus, but not required • Private, distraction-free home workspace • Secure internet connection • Home internet speeds greater than 20 Mbps download and 10 Mbps upload • Workspace must accommodate workstation equipment and related materials • Ability to be fully present, actively participate, and remain on camera during training • Ability to commit full attention during scheduled work hours and meet productivity expectations • Ability to actively participate on camera • Ability to manage high volumes of inbound and outbound calls while maintaining accuracy and productivity standards

🏖️ Benefits

• Incentive Plan • Comprehensive training beginning on the first day and lasting 8-10 business days • Ongoing support from teammates following training • Robust knowledgebase for continued reference • Individual performance metrics visibility • Computers and necessary work equipment provided • Involved management support • Remote work arrangement