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, 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.

Сипаттама

  • 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

Талаптар

  • 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

Артықшылықтар

  • 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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