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Revecore is a healthcare revenue recovery company helping hospitals and health systems find and collect reimbursement that may otherwise be missed. Its ReClaim™ platform combines proprietary AI, claims intelligence, workflow automation, and payor rule engines with clinical, legal, and reimbursement expertise. The platform supports complex claim recovery, including VA, auto accident, workers’ compensation, and Medicaid claims, alongside denials management, underpayment recovery, and accounts receivable acceleration. Revecore’s HIPAA-compliant, SOC 2-certified infrastructure uses machine-learning models trained on hundreds of millions of claims, and the company serves more than 1,300 hospitals. Its team spans healthcare technology, revenue cycle operations, clinical services, legal expertise, and reimbursement.
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.
United States
Alabama
Connecticut
Florida
Iowa
Kansas
Kentucky
Louisiana
Maine
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Nebraska
New Hampshire
North Carolina
Ohio
Oklahoma
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Vermont
Virginia
West Virginia
Wisconsin$17 / hour
RemoteFull-timeMiddleSeniorEnglish RequiredClaims SpecialistDescription
- 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
Requirements
- 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
Benefits
- 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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