Third Party Liability Claims Specialist

🔥 21 hours ago

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Revecore

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

• Review and work accounts transferred to litigation for insurance information and attorney representation • Assess and transfer new accounts to determine whether a lien can be filed • Take necessary steps to follow through on lien filing • Contact attorneys and adjusters regarding case status and protection • Send bills, liens, and other information to attorneys and insurance companies • Review and work adjuster-only accounts to file liens or track settlements • Contact insurance carriers regarding eligibility and timely filing deadlines • Review and work liability elective accounts for providers requesting settlement tracking while observing timely filing deadlines • Review accounts to determine whether a lien can be filed • Transfer accounts to other litigation team members when feasible • Perform special projects as assigned

🎯 Requirements

• Must reside in the United States within an approved state listed in the posting • Ability to work with Microsoft Office products (Word, Excel, Outlook) • Ability to communicate effectively verbally and in writing • Proven ability to produce accurate work with attention to detail when handling claims, often under minimal supervision • Ability to organize and set priorities according to situational demands • Proven sense of professional and personal judgment • Ability to tolerate stress and effectively analyze and solve problems • General understanding of relevant legal knowledge • Eligibility to work in the United States • Successful completion of employment history verification and background check • A secure internet connection and home internet with speeds >20 Mbps download and >10 Mbps upload

🏖️ Benefits

• Remote work from home • Quiet, distraction-free home work environment • Secure internet connection • Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads • Workspace accommodating workstation equipment and related materials

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