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 Variance Underpayment Analyst at Revecore

Revecore is seeking a remote Variance Underpayment Analyst to help hospitals recover revenue. The role reviews claims discrepancies, investigates reimbursement issues, and works with insurance carriers to resolve underpayments.

विवरण

  • Review hospital claims to confirm accurate reimbursement
  • Compare expected and actual insurance-carrier payments using established practices, technology-enabled worklists, and internal tools
  • Investigate payment variances, coding mistakes, billing discrepancies, and incorrect application of payer policies
  • Work with insurance companies to gather missing information, explain and resolve underpayments, and coordinate payment or adjustment processing for clients
  • Prepare and submit correspondence, online inquiries, appeals, adjustments, reports, and payment postings
  • Document underpayment root causes, trends, outcomes, and lessons learned
  • Contribute to discussions, meetings, and brainstorming aimed at improving processes
  • Follow ethical standards, applicable regulations, and organizational policies
  • Complete other assigned duties

आवश्यकताएँ

  • High school diploma or equivalent
  • Investigative and problem-solving ability to identify underpayments and discrepancies
  • Working knowledge of healthcare billing, coding, and reimbursement methods
  • Strong analytical skills for interpreting complex guidelines and applying them to claim reimbursement
  • Ability to navigate and interpret Medicare, Medicaid, and commercial insurance guidelines
  • High attention to detail when applying guidelines and maintaining documentation
  • Clear communication skills for working with internal teams, payers, and external stakeholders
  • Experience using healthcare billing software and databases such as EPIC, Cerner, and Meditech
  • Familiarity with HIPAA, CMS regulations, and state-specific healthcare reimbursement requirements
  • Moderate proficiency with Microsoft Excel, Word, and Outlook
  • Ability to work across multiple monitors and software applications simultaneously
  • Prior experience working remotely
  • Quiet, distraction-free home workspace
  • Secure home internet with download speeds above 20 Mbps and upload speeds above 10 Mbps
  • Workspace suitable for company equipment and related materials
  • Residence in the United States within an eligible listed state
  • Authorization to work in the United States
  • Successful background check

लाभ

  • Comprehensive 90-business-day training starting on the first day
  • Remote work arrangement
  • Work-from-home setup
  • Equal employment opportunity workplace

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