Health Claims Specialist

Revecore combines advanced technology, dedicated expertise, and exceptional client service to help health systems maximize reimbursements and minimize the challenges of identifying, recovering, and preventing underpayments and denials from commercial and government payers, and securing accurate reimbursement for Motor Vehicle and Workers’ Compensation accidents and Veterans Affairs Claims. Partnering with Revecore means peace of mind for our clients within these specialized claims. No other company offers the same combination of custom-designed technology, process automation, and teams of clinical and claims subject matter experts, built on over 25 years of experience. As a result, we collect more reimbursements and provide more valuable process improvements than any other firm. Steadfast dedication to our clients’ success has earned us the prestigious title of #1 Best in KLAS Complex Claims for five consecutive years, solidifying our reputation as the industry leader.

Preferred Locations: Remote, United States Job Description Ready to make a difference for hospitals while working from home? Start your next chapter at Revecore! For over 25 years, Revecore has been at the forefront of specialized claims management, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities. We're powered by people, driven by technology, and dedicated to our clients and employees. If you're looking for a collaborative and diverse culture with a great work/life balance, look no further. Starting Pay: $17.50hr The Role: Health Claims Specialist As a Health Claims Specialist at Revecore, you will bill and investigate health insurance claims to ensure maximum payment from insurance companies on behalf of our clients (hospitals and medical providers). Training: Our comprehensive training begins on your first day and lasts 8-10 business days. It is led by instructors and incorporates interactive discussions and hands-on activities to accommodate diverse learning preferences.

You will be busy investigating and researching health insurance claims, following up on unresolved claims to facilitate payment of claims for commercial health, Medicare, and Medicaid, ensuring maximized payments to our clients (medical providers). You will also contribute to your team with various denial reports, audits, and overall support.