Customer Operations (Workers Compensation Claims) at Revecore

, , United States -

Full Time

Start Date

Immediate

Expiry Date

14 Jun, 26

Salary

15.0

Posted On

16 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Workers Compensation Claims, Claims Investigation, Medical Billing, Outbound Calling, Problem Solving, Critical Thinking, Organization, Multi-tasking, Professional Communication, Microsoft Word, Microsoft Excel, Microsoft Outlook, Technical Proficiency, Productivity Metrics, Coordination of Benefits

Industry

Hospitals and Health Care

Description

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. Revecore Perks: * We offer paid training and incentive plans * Our medical, dental, vision, and life insurance benefits are available from the first day of employment * We enjoy excellent work/life balance * Our Employee Resource Groups build community and foster a culture of belonging and inclusion * We match 401(k) contributions * We offer career growth opportunities * We celebrate 12 paid holidays and generous paid time off   Pay $15hr The Role: Customer Operations (Workers Compensation Claims) As a Workers' Compensation Claims billing specialist at Revecore, you will make high-volume, outbound calls to investigate, bill, and maximize payments on medical claims to 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. Success starts with training. That's why we ask all new team members to be fully present each day, participate actively, and remain on camera. Your Day: You will be busy investigating and resolving troubled and/or denied workers' compensation claims. This will require a high volume of outbound calls to patient employers, insurance company representatives, attorneys and patients. Once confirmed, you will submit the bills and proper documentation to the insurance company, or the appropriate payer, ensuring maximized payments to our clients (medical providers). If the bills aren't paid correctly, you will review the information/documentation provided by the payer in order to determine what to do next. You will also contribute to your team by participating in special projects in order to achieve goals and ensure client success. Is this role for you? Revecore encourages our employees to be driven and highly motivated to be successful. Consider this role if you: * Want to grow a career * Have a working knowledge of Microsoft Office (Word, Excel, Outlook) * Possess technical proficiency to work on multiple computer screens and software applications simultaneously * Can maintain strong performance in a fast-paced environment with productivity metrics * Remain organized while multi-tasking * Use critical thinking and problem-solving skills to find effective and efficient solutions * Communicate clearly and professionally, both verbally and in writing * Have an unnatural ability to put together a 1,000 piece puzzle in record time * Take pride in solving the mystery on a TV crime show before the main character * Have experience with Coordination of Benefits and a general understanding of insurance billing (a plus, but not required) How we'll set you up for success: * Extensive multi-week training with ongoing support from teammates following training. * Access to a robust knowledgebase for continued reference in your role. * Visibility to your individual performance metrics enables you to set goals. * Computers and necessary work equipment are provided  * Involved management who leans in to support your productivity metrics. Work at Home Requirements: * A private, distraction-free environment to work from in your home. * On-Camera Presence: Being on camera is an essential part of our culture--it helps build trust, support collaboration, and strengthen team connections * A secure internet connection is required. * Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads.  * The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive. Must reside in the United States within one of the states listed below: Alabama, Arkansas, Delaware, Florida, Georgia, Iowa, Indiana, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Wisconsin, and West Virginia Revecore is an equal opportunity employer that does not discriminate based on race, color, religion, sex or gender, gender identity or expression, sexual orientation, national origin, age, disability status, veteran status, genetic information, or any other legally protected status.     We believe that a diverse workforce fosters innovation and creativity, enriches our culture, and enables us to better serve the needs of our clients and communities. We welcome and encourage individuals of all backgrounds, perspectives, and abilities to apply. #LI-DNI

Responsibilities

The specialist will conduct high-volume outbound calls to investigate, bill, and maximize payments on medical claims related to workers' compensation for hospitals and medical providers. This involves resolving troubled or denied claims by communicating with employers, insurance representatives, attorneys, and patients, and submitting correct documentation for payment.