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 Medical Billing Advocate

Revecore seeks a remote Medical Billing Advocate to process medical claims, pursue payer follow-ups, manage denials and EOBs, and handle account inquiries. This full-time role supports hospital revenue recovery across assigned accounts in the United States.

विवरण

  • Process medical claims submitted to insurers and other payers for reimbursement
  • Submit claims promptly to insurance companies
  • Follow up with payers to verify hospital or physician status forms during adjudication
  • Pursue unpaid claims within established billing-cycle time frames
  • Contact insurers about payments and denials, verify claim status, and obtain EOBs
  • Identify and bill secondary and tertiary insurance providers
  • Respond to patient and insurer telephone inquiries for assigned accounts
  • Manage new assignments and follow-up accounts across the workload

आवश्यकताएँ

  • Insurance claims experience is preferred but not required
  • Previous administrative or clerical office experience is preferred
  • At least one year of experience in an office setting
  • At least one year of customer service experience
  • Ability to manage a high volume of accounts
  • Strong investigative and problem-solving skills
  • Consistent attention to detail and accuracy
  • Strong organization, time management, and prioritization skills
  • Effective telephone and written communication skills
  • Proficiency with Microsoft Office applications, including Word, Excel, and Outlook
  • Knowledge of healthcare terminology is preferred but not required
  • Private, distraction-free environment for working from home
  • Secure internet connection with download speeds above 20 Mbps and upload speeds above 10 Mbps
  • Workspace that can accommodate all provided workstation equipment
  • Authorization to work in the United States
  • Successful employment verification and background check

लाभ

  • Multi-week training program with continued teammate support after training
  • Access to a comprehensive knowledge base for ongoing reference
  • Visibility into individual performance metrics for setting goals
  • Computers and required work equipment supplied
  • Hands-on management support for productivity metrics
  • Remote work arrangement
  • Revecore-provided laptop, monitor, keyboard, mouse, docking station, and headset

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