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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.
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Kompaniyadagi ish o‘rinlari

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.

USAmerika Qo‘shma ShtatlariALAlabamaFLFloridaILIllinoysIAAyovaKSKanzasKYKentukkiLALuizianaMEMenMAMassachusetsMIMichiganMNMinnesotaMSMissisipiMOMissuriNENebraskaNHNyu-HempshirNCShimoliy KarolinaOHOgayoOKOklaxomaPAPensilvaniyaRIRod-AylendSCJanubiy KarolinaSDJanubiy DakotaTNTennessiTXTexasVTVermontVAVirjiniyaWVG‘arbiy VirjiniyaWIViskonsinMasofaviyTo‘liq stavkaJuniorDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaHimoyachiUmumiy

Tavsif

  • 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

Talablar

  • 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

Imtiyozlar

  • 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

O‘xshash ish o‘rinlari