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SalaryReady 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.
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
- Computers and necessary work equipment are provided
Location: Remote-USA
The Role:
Join our innovative team as a Hospital Claims Analyst. Primarily responsible for thorough review of managed care contracts and comparison of such contracts against healthcare claims to identify underpayments for the assigned client. Apply now and become an integral part of our mission to deliver efficient, accurate, and compassionate healthcare payment solutions!
You will be successful if you have:
- Accounts receivable collections experience from payors (no self-pay)
- Ability to effectively identify and communicate payor trends
- Organization and documentation skills to ensure timely follow-up and accurate record keeping
- Mathematical skills: ability to calculate rates using addition, subtraction, multiplication and division
- Ability to read and interpret an extensive variety of documents such as contracts, claims, instructions, policies and procedures in written (in English) and diagram form
- Ability to present written routine correspondence (in English)
- Ability to present ideas on complex, detailed issues with ease
- Ability to define problems, collect data, establish facts and draw valid conclusions
- Strong customer service orientation
- Excellent interpersonal and communication skills
Education and Experience Requirements
- Minimum 2 years of experience working in an operational setting, preferably managed care or hospital patient accounts
- High School diploma or equivalent
- Moderate computer proficiency including working knowledge of MS Excel, Word and Outlook
- Experience working with ICD-9, CPT-4 and/or HCPCS coding systems
- Knowledge of insurance submittal procedures and medial forms (including UB04 and CMS1500)
- Experience performing account resolution with third party payors
Work at Home Requirements:
- A quiet, distraction-free environment to work from in your home
- A reliable hard-wired private internet connection that is not supplied via cellular data or hotspot 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.
Revecore is an equal opportunity employer that does not discriminate on the basis of 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.
Must reside in the United States within one of the states listed below:
Alabama, Arkansas, Arizona, Connecticut, Delaware, Florida, Georgia, Iowa, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Maryland, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, New Jersey, New Mexico, Nevada, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Wisconsin, and West Virginia.
