Revecore
Revecore
1 001 – 5 000 Қызметкерлер
B2BSaaSДенсаулық сақтау
Revecore — ауруханалар мен денсаулық сақтау жүйелеріне әйтпесе назардан тыс қалуы мүмкін өтемақыларды анықтап, өндіріп алуға көмектесетін денсаулық сақтау саласындағы кірістерді қалпына келтіру компаниясы. Оның ReClaim™ платформасы меншікті жасанды интеллектіні, талап-арыздар туралы деректерді, жұмыс үдерістерін автоматтандыруды және төлеуші ережелерінің қозғалтқыштарын клиникалық, құқықтық және өтемақы саласындағы сараптамамен біріктіреді. Платформа VA, жол-көлік оқиғалары, өндірістегі жазатайым оқиғалар бойынша өтемақы және Medicaid талаптарын қоса алғанда, күрделі талаптарды өндіріп алуды, қабылданбаған талаптарды басқаруды, толық төленбеген сомаларды өндіріп алуды және дебиторлық берешекті жеделдетуді қолдайды. Revecore компаниясының HIPAA талаптарына сай, SOC 2 сертификатталған инфрақұрылымы жүздеген миллион талап бойынша оқытылған машиналық оқыту модельдерін пайдаланады, ал компания 1 300-ден астам ауруханаға қызмет көрсетеді. Оның командасы денсаулық сақтау технологиялары, кірістер айналымы операциялары, клиникалық қызметтер, құқықтық сараптама және өтемақы салаларын қамтиды.

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.

Сипаттама

  • 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

Талаптар

  • 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

Артықшылықтар

  • 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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