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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, 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.

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 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

Cerințe

  • 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

Beneficii

  • 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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