LogoFresh Jobs Ahead
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.
LinkedIn
Kompaniyadagi ish o‘rinlari

Remote Variance Underpayment Analyst at Revecore

Revecore is seeking a remote Variance Underpayment Analyst to help hospitals recover revenue. The role reviews claims discrepancies, investigates reimbursement issues, and works with insurance carriers to resolve underpayments.

USAmerika Qo‘shma ShtatlariALAlabamaCTKonnektikutFLFloridaIAAyovaKSKanzasKYKentukkiLALuizianaMEMenMAMassachusetsMIMichiganMNMinnesotaMSMissisipiMOMissuriNENebraskaNHNyu-HempshirNCShimoliy KarolinaOHOgayoOKOklaxomaPAPensilvaniyaRIRod-AylendSCJanubiy KarolinaSDJanubiy DakotaTNTennessiTXTexasVTVermontVAVirjiniyaWVG‘arbiy VirjiniyaWIViskonsinMasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaTahlilchi

Tavsif

  • Review hospital claims to confirm accurate reimbursement
  • Compare expected and actual insurance-carrier payments using established practices, technology-enabled worklists, and internal tools
  • Investigate payment variances, coding mistakes, billing discrepancies, and incorrect application of payer policies
  • Work with insurance companies to gather missing information, explain and resolve underpayments, and coordinate payment or adjustment processing for clients
  • Prepare and submit correspondence, online inquiries, appeals, adjustments, reports, and payment postings
  • Document underpayment root causes, trends, outcomes, and lessons learned
  • Contribute to discussions, meetings, and brainstorming aimed at improving processes
  • Follow ethical standards, applicable regulations, and organizational policies
  • Complete other assigned duties

Talablar

  • High school diploma or equivalent
  • Investigative and problem-solving ability to identify underpayments and discrepancies
  • Working knowledge of healthcare billing, coding, and reimbursement methods
  • Strong analytical skills for interpreting complex guidelines and applying them to claim reimbursement
  • Ability to navigate and interpret Medicare, Medicaid, and commercial insurance guidelines
  • High attention to detail when applying guidelines and maintaining documentation
  • Clear communication skills for working with internal teams, payers, and external stakeholders
  • Experience using healthcare billing software and databases such as EPIC, Cerner, and Meditech
  • Familiarity with HIPAA, CMS regulations, and state-specific healthcare reimbursement requirements
  • Moderate proficiency with Microsoft Excel, Word, and Outlook
  • Ability to work across multiple monitors and software applications simultaneously
  • Prior experience working remotely
  • Quiet, distraction-free home workspace
  • Secure home internet with download speeds above 20 Mbps and upload speeds above 10 Mbps
  • Workspace suitable for company equipment and related materials
  • Residence in the United States within an eligible listed state
  • Authorization to work in the United States
  • Successful background check

Imtiyozlar

  • Comprehensive 90-business-day training starting on the first day
  • Remote work arrangement
  • Work-from-home setup
  • Equal employment opportunity workplace

O‘xshash ish o‘rinlari

Bloomlife Inc

Remote Account Sales Executive, Healthcare

Bloomlife Inc
11 – 50 Xodimlar
Sog‘liqni saqlashSun’iy intellektTibbiy sug‘urta
USAmerika Qo‘shma ShtatlariMasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaSotuv

Grow Bloomlife’s remote maternal-fetal monitoring business by selling remote patient monitoring solutions to OB/GYN practices and health systems. Manage the full sales cycle, from prospecting and clinical presentations to contract negotiations and deployment handoffs.

Ochish
Illumina

Clinical Sales Specialist, Genomics — Thailand, Indonesia and Vietnam

Illumina
5 001 – 10 000 Xodimlar
H1B vizasi homiysiIshlab chiqarishKonsaltingSog‘liqni saqlash
THTailandMasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaSotuv

Support Illumina’s clinical genomics sales across Thailand, Indonesia and Vietnam, advising customers on applications, workflows and products. The role spans reproductive and genetic health, oncology, customer development and regional market growth.

Ochish
Trane Technologies

Senior Executive Assistant, Digital Leadership

Trane Technologies
B2BEnergetikaIshlab chiqarish
USAmerika Qo‘shma ShtatlariMNMinnesotaNCShimoliy Karolina
61 300 $ – 109 655 $ / yil
GibridTo‘liq stavkaSeniorYetakchiTalab Qilinadigan Til: inglizchaRahbar yordamchisi

Support Trane Technologies’ Digital leadership team by coordinating executive schedules, travel, meetings, communications, and procurement. The role covers leaders across the United States and requires on-site work in White Bear Lake, Minnesota, Monday through Thursday.

Ochish
GlobeLife

Remote Customer Retention Representative

GlobeLife
1 – 10 Xodimlar
FanSog‘liqni saqlashTa’lim
USAmerika Qo‘shma ShtatlariMasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaMijozlar muvaffaqiyatiMijozlarni saqlab qolish bo‘yicha mutaxassis

Help Globe Life policyholders keep their coverage and restore lapsed life insurance policies in this remote customer retention role. Handle inbound and outbound calls, discuss coverage and payment options, document outcomes, and meet retention targets.

Ochish