Health Claims Specialist

Job not on LinkedIn

🔥 0 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

💵 $17 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

👻 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

• Bill and investigate health insurance claims to maximize payment from insurance companies for hospital and medical-provider clients • Research and investigate commercial health, Medicare, and Medicaid claims • Follow up on unresolved claims to facilitate payment • Maximize payments to medical-provider clients • Contribute to denial reports, audits, and overall team support • Complete interactive training and hands-on activities during the 8–10 business-day training period

🎯 Requirements

• Experience researching and resolving claims for commercial health, Medicare, and Medicaid • Knowledge of filing correct UB04s and 1500 HCFA forms with subrogation information • Familiarity with billing health insurance as part of auto accidents • Experience conducting timely claim follow-up to determine claim status and collect or provide information • Experience working in EPIC • Working knowledge of Microsoft Office (Word, Excel, Outlook) • Technical proficiency working on multiple computer screens and software applications simultaneously • Ability to maintain strong performance in a fast-paced environment with productivity metrics • Private, distraction-free home work environment • Secure internet connection • Home internet speeds above 20 Mbps download and above 10 Mbps upload • Workspace able to accommodate provided workstation equipment • Eligibility to work in the United States • Successful employment history verification and background check • Must reside in the United States within one of the listed eligible states • Full focus during scheduled work hours and ability to meet productivity expectations • Active participation on camera • Ability to manage a high volume 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 for goal setting • Computers and necessary work equipment provided • Involved management support • On-camera remote work culture • Affirmative Action/Equal Opportunity Employer