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, bill, and follow up on commercial, Medicare, and Medicaid claims for Revecore’s hospital and medical-provider clients. Help recover accurate provider payments through claims research, denial support, and timely resolution.

विवरण

  • Bill and investigate health insurance claims to support maximum reimbursement for hospital and medical-provider clients
  • Research commercial, Medicare, and Medicaid claims to identify issues and payment opportunities
  • Follow up on unresolved claims to confirm status and obtain or provide required information
  • Help maximize reimbursement for medical-provider clients
  • Support denial reporting, audits, and broader team operations
  • Complete interactive training and hands-on exercises during the 8–10 business-day training period

आवश्यकताएँ

  • Experience researching and resolving commercial health, Medicare, and Medicaid claims
  • Knowledge of correctly filing UB04 and 1500 HCFA forms with subrogation information
  • Familiarity with billing health insurance for auto-accident claims
  • Experience performing timely follow-up to verify claim status and collect or provide information
  • Experience working with EPIC
  • Working knowledge of Microsoft Word, Excel, and Outlook
  • Technical ability to use multiple monitors and software applications simultaneously
  • Ability to maintain productivity and quality in a fast-paced, metrics-driven environment
  • Private, distraction-free home workspace
  • Secure internet connection
  • Home internet service with download speeds above 20 Mbps and upload speeds above 10 Mbps
  • Workspace that can accommodate provided workstation equipment
  • Eligibility to work in the United States
  • Successful employment verification and background check
  • Residence in the United States within one of the listed eligible states
  • Ability to remain fully focused during scheduled work hours and meet productivity expectations
  • Willingness to participate actively on camera
  • Ability to manage high volumes of inbound and outbound calls while maintaining accuracy and productivity standards

लाभ

  • Incentive plan
  • Comprehensive first-day training lasting 8–10 business days
  • Ongoing support from teammates after training
  • Robust knowledge base for continued reference
  • Individual performance metrics to support goal setting
  • Company-provided computer and required work equipment
  • Hands-on management support
  • Remote work culture centered on camera participation
  • Affirmative Action/Equal Opportunity Employer

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