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Revecore
Revecore
1.001 – 5.000 Angajați
Asistență medicalăB2BSaaS
Revecore este o companie de recuperare a veniturilor din domeniul asistenței medicale, care ajută spitalele și sistemele de sănătate să identifice și să încaseze rambursări care altfel ar putea fi omise. Platforma ReClaim™ combină inteligența artificială proprietară, informațiile despre cereri, automatizarea fluxurilor de lucru și motoare de reguli pentru plătitori cu expertiză clinică, juridică și în domeniul rambursărilor. Platforma sprijină recuperarea cererilor complexe, inclusiv cereri VA, rezultate în urma accidentelor auto, cereri de despăgubire pentru accidente de muncă și cereri Medicaid, precum și gestionarea refuzurilor, recuperarea plăților insuficiente și accelerarea creanțelor. Infrastructura Revecore, conformă cu HIPAA și certificată SOC 2, utilizează modele de învățare automată antrenate pe sute de milioane de cereri, iar compania deservește peste 1.300 de spitale. Echipa sa reunește expertiză în tehnologia medicală, operațiuni ale ciclului veniturilor, servicii clinice, domeniul juridic și rambursări.
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Locurile de muncă ale companiei

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.

USStatele Unite ale AmericiiALAlabamaCTConnecticutFLFloridaIAIowaKSKansasKYKentuckyLALouisianaMEMaineMAMassachusettsMIMichiganMNMinnesotaMSMississippiMOMissouriNENebraskaNHNew HampshireNCCarolina de NordOHOhioOKOklahomaPAPennsylvaniaRIRhode IslandSCCarolina de SudSDDakota de SudTNTennesseeTXTexasVTVermontVAVirginiaWVVirginia de VestWIWisconsin
17 $ / oră
RemoteNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăSpecialist în daune

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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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