Supervisor – Denials Recovery

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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

• Interview, hire, train, audit and review team members • Lead, supervise, motivate and monitor team members to ensure compliance with Revecore policies, procedures and standards • Advise Manager of any workflow, personnel, client or carrier issues or improvement opportunities both within the department and in other operational departments • Support and assist team members with difficult issues concerning work, co-workers, clients and/or carriers; offer suggestions to assist in process of underpayment reviews and collections • Ensure team successfully achieves Revecore quality, productivity and collection goals • Participate in workflow examination or special projects as directed by management • Track various departmental information in order to develop and maintain benchmarks, create goals, manage trends, identify areas of opportunity and weakness, identify issues and training opportunities • Collect, track, and analyze various client-requested data and reports to identify trends, process improvements, and best practice recommendations • Assist in and/or lead presenting and feeding back to the client the results and recommendations during executive summaries and working sessions • Build strong, lasting relationships with the staff, the Revecore management team, and other internal and external clients • Maintain regular contact with necessary parties regarding claims status including carriers, clients, managers and other Revecore personnel • Organize, prepare and/or attend department, client and company meetings • Investigate various issues with carriers and their contracts; respond to questions and resolve problems • Prepare and submit correspondence such as letters, emails, online inquiries, appeals, adjustments, reports and payment posting • Perform duties and responsibilities of Project Coordinator, Lead Analyst or Analyst as needed and instructed by the Manager • Attend client, department and company meetings • Comply with federal and state laws, company policies and procedures • Other duties as assigned

🎯 Requirements

• Minimum of 5-years denials claims experience and/or training • High school diploma or equivalent • Moderate computer proficiency including working knowledge of MS Excel, Word and Outlook • Analytical and problem solving skills • Mathematical skills: ability to calculate rates using addition, subtraction, multiplication and division • Ability to read and interpret an extensive variety of documents such as contracts, claims, instructions, policies and procedures in written (in English) and diagram form • Ability to write routine correspondence (in English) • Ability to define problems, collect data, establish facts and draw valid conclusions • Strong customer service orientation • Excellent interpersonal and communication skills • Excellent leadership skills and abilities • Ability to work on own with minimal supervision and use effective time management skills to complete tasks on time • Commitment to company values • Ability to travel by automobile or public transportation to visit or setup work sites

🏖️ Benefits

• Comprehensive health coverage • 401(k) match • Paid training • Generous PTO • Paid holidays • More