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 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.

Сипаттама

  • 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

Талаптар

  • 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

Артықшылықтар

  • 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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