
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
Where this job comes from
Posted on Revecore's careers page, not through a job board
First seen by Remote Rocketship 0 minutes ago

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.
• Lead Revecore's Health and VA claims operations • Develop and execute the strategic vision for Health and VA claims operations • Establish departmental goals, performance metrics, and recovery targets • Drive continuous improvement to increase recoveries, reduce cycle times, and improve client outcomes • Identify emerging reimbursement opportunities and industry trends • Lead multiple teams resolving and recovering complex healthcare claims • Ensure efficient workflows, consistent recovery strategies, best practices, and operational standards • Monitor productivity, quality, account aging, and financial performance metrics • Drive revenue growth through increased recoveries and improved account resolution • Analyze performance data to identify trends, risks, and opportunities • Develop forecasting models and reporting tools to support business decisions • Serve as an executive-level liaison for key client relationships • Present operational performance, recovery results, and strategic initiatives to clients and senior leadership • Partner with healthcare providers to improve reimbursement outcomes • Address escalated client concerns and develop effective solutions • Interview, hire, train, assign, direct, appraise, reward, and discipline employees; address complaints and resolve problems
• Excellent written and verbal communication skills • Ability to analyze problems and present solutions • Ability to organize and prioritize according to situational demands • Ability to work effectively under minimal supervision • Ability to influence stakeholders and build alignment across organizational levels without direct authority • Understanding of methods to train new hires and upgrade existing personnel • Technical proficiency managing large data sets • Knowledge of relevant healthcare revenue cycle technologies • Strong data analytics abilities and ability to translate complex data into actionable insights • Experience leading distributed or remote teams, including offshore partners • Advanced proficiency in Microsoft Excel • Working knowledge of Microsoft Office Suite • 7+ years of experience in healthcare revenue cycle operations or a comparable cross-functional discipline • At least 3 years of experience leading managers or multiple teams • Eligibility to work in the United States • Successful employment history verification and background check
• Remote work arrangement • Work-from-home setup with a quiet, distraction-free environment • Secure home internet requirement with speeds >20 Mbps download and >10 Mbps upload • Equal employment opportunity and affirmative action employer
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