Revecore
Revecore
1 001 – 5 000 Xodimlar
B2BSaaSSog‘liqni saqlash
Revecore — shifoxonalar va sog‘liqni saqlash tizimlariga aks holda e’tibordan chetda qolishi mumkin bo‘lgan to‘lovlarni aniqlash va undirishda yordam beradigan tibbiy xizmatlar daromadini tiklash kompaniyasi. Uning ReClaim™ platformasi xususiy sun’iy intellekt, da’volar bo‘yicha ma’lumotlar, ish jarayonlarini avtomatlashtirish va to‘lovchi qoidalari dvigatellarini klinik, huquqiy hamda to‘lovlarni undirish bo‘yicha ekspertiza bilan birlashtiradi. Platforma VA, avtohalokat, ishchilarga tovon puli va Medicaid da’volarini o‘z ichiga olgan murakkab da’volarni undirishni, rad etilgan da’volarni boshqarishni, kam to‘langan summalarni undirishni va debitorlik qarzlarini tezlashtirishni qo‘llab-quvvatlaydi. Revecore’ning HIPAA talablariga mos, SOC 2 sertifikatiga ega infratuzilmasi yuz millionlab da’volar asosida o‘qitilgan mashinaviy o‘rganish modellaridan foydalanadi, kompaniya esa 1 300 dan ortiq shifoxonaga xizmat ko‘rsatadi. Uning jamoasi sog‘liqni saqlash texnologiyalari, daromadlar aylanishi operatsiyalari, klinik xizmatlar, huquqiy ekspertiza va to‘lovlarni undirish sohalarini qamrab oladi.

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.

Tavsif

  • 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

Talablar

  • 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

Imtiyozlar

  • 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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