Customer Operations – Workers Compensation Claims

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🏈 Alabama, Connecticut, +27 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 🍑 Georgia – 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 • Investigate and resolve troubled 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 • Participate in special projects to achieve goals and ensure client success • Support hospitals and medical providers by maximizing claim payments

🎯 Requirements

• Must reside in the United States within one of the listed states: Alabama, Arkansas, Connecticut, Florida, Georgia, 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 (CST Time Zone), Tennessee, Texas (CST Time Zone), Vermont, Virginia, Wisconsin, or West Virginia • 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 multi-tasking • Critical thinking and problem-solving skills • Clear and professional verbal and written communication • Private, distraction-free home work environment • Active on-camera presence during work and training • Secure internet connection • Home internet speeds greater than 20 Mbps download and 10 Mbps upload • Workspace must accommodate workstation equipment and related materials • Employment eligibility in the United States • Successful employment-history verification and background check • Experience billing medical claims to insurance companies is required by the application prescreen • Experience with Coordination of Benefits and general understanding of insurance billing are a plus, but not required

🏖️ Benefits

• 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 for goal-setting • Computers and necessary work equipment provided • Involved management support • Incentive Plan • Remote work from home

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