Revecore
Revecore
1,001 – 5,000 कर्मचारी
B2BSaaSस्वास्थ्य सेवा
Revecore स्वास्थ्य सेवा क्षेत्र में राजस्व वसूली करने वाली कंपनी है, जो अस्पतालों और स्वास्थ्य प्रणालियों को ऐसी प्रतिपूर्ति खोजने और प्राप्त करने में मदद करती है, जो अन्यथा छूट सकती है। इसका ReClaim™ प्लेटफ़ॉर्म स्वामित्व वाली कृत्रिम बुद्धिमत्ता, दावों से जुड़ी सूचनाओं, वर्कफ़्लो स्वचालन और भुगतानकर्ता नियम इंजन को नैदानिक, कानूनी और प्रतिपूर्ति विशेषज्ञता के साथ जोड़ता है। यह प्लेटफ़ॉर्म जटिल दावों की वसूली, जिनमें VA, वाहन दुर्घटना, श्रमिक मुआवज़ा और Medicaid दावे शामिल हैं, के साथ-साथ अस्वीकृत दावों का प्रबंधन, कम भुगतान की वसूली और प्राप्य खातों की वसूली में तेजी लाने की सुविधा देता है। Revecore का HIPAA-अनुरूप और SOC 2-प्रमाणित बुनियादी ढाँचा करोड़ों दावों पर प्रशिक्षित मशीन-लर्निंग मॉडल का उपयोग करता है और कंपनी 1,300 से अधिक अस्पतालों को सेवाएँ देती है। इसकी टीम में स्वास्थ्य सेवा प्रौद्योगिकी, राजस्व चक्र संचालन, नैदानिक सेवाओं, कानूनी विशेषज्ञता और प्रतिपूर्ति के क्षेत्र के विशेषज्ञ शामिल हैं।

Remote Health Claims Specialist at Revecore

Investigate and bill commercial, Medicare, and Medicaid health claims for Revecore on behalf of hospitals and medical providers. Help resolve outstanding claims and improve reimbursements through accurate follow-up and payment recovery.

विवरण

  • Bill and investigate health insurance claims for hospitals and medical providers
  • Research commercial, Medicare, and Medicaid claims to determine coverage and payment status
  • Follow up on unresolved claims to support timely payment
  • Work to maximize reimbursements for healthcare provider clients
  • Assist with denial reporting and audit activities
  • Support the broader claims team as needed
  • Complete 8–10 business days of instructor-led training, including interactive discussions and hands-on activities
  • Keep your camera on during training and routine work
  • Handle high volumes of inbound and outbound calls while meeting accuracy and productivity standards

आवश्यकताएँ

  • Experience researching and resolving commercial health, Medicare, and Medicaid claims
  • Knowledge of submitting accurate UB04 and 1500 HCFA forms with subrogation information to payers
  • Familiarity with health insurance billing related to automobile accidents
  • Experience conducting timely follow-up to check claim status and collect or provide information needed for resolution
  • Experience using EPIC
  • Working knowledge of Microsoft Office applications, including Word, Excel, and Outlook
  • Ability to work efficiently across multiple computer screens and software applications at the same time
  • Ability to maintain strong performance in a fast-paced environment measured by productivity metrics
  • A private, distraction-free workspace at home
  • A secure internet connection with download speeds above 20 Mbps and upload speeds above 10 Mbps
  • Residence in the United States and one of the listed states
  • Authorization to work in the United States
  • Successful employment history verification and background check

लाभ

  • Incentive plan
  • Comprehensive first-day training lasting 8–10 business days
  • Continued support from teammates after training
  • Extensive knowledge base for ongoing reference
  • Individual performance metrics to support goal-setting
  • Company-provided computer and required work equipment
  • Hands-on management support
  • Remote work arrangement

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