Customer Operations (Workers Compensation Claims)

Revecore
United States
RemoteCareer-pivot friendly

Who this role is best for

Strong fit for candidates with experience in medical billing or claims resolution who thrive in a remote, on-camera work environment and enjoy problem-solving in a fast-paced setting.

Best fit for

  • Candidates with a background in medical claims and a preference for remote work with on-camera presence
    — “US-Remote, On-Camera Presence: Being on camera is an essential part of our culture”
  • Individuals who enjoy high-volume outbound calling and resolving complex insurance issues
    — “make high-volume, outbound calls to investigate, bill, and maximize payments on medical claims”
  • Professionals with strong organizational skills and the ability to work with multiple software applications simultaneously
    — “technical proficiency to work on multiple computer screens and software applications simultaneously”

Things to consider

  • On-camera presence is mandatory, even though the role is remote
    — “Being on camera is an essential part of our culture”
  • Candidates must reside in specific U.S. states with CST time zones
    — “Must reside in the United States within one of the states listed below”

How to stand out

  • Emphasize experience with insurance claims resolution and Coordination of Benefits in your resume and interview
    — “experience with Coordination of Benefits and a general understanding of insurance billing”
  • Showcase your ability to manage multiple tasks and maintain organization in fast-paced settings
    — “Remain organized while multi-tasking”
  • Highlight your problem-solving and critical thinking skills with specific examples from your past work
    — “Use critical thinking and problem-solving skills to find effective and efficient solutions”
  • Demonstrate your communication skills by including examples of professional verbal and written interactions
    — “Communicate clearly and professionally, both verbally and in writing”
  • Include any prior experience with Microsoft Office tools such as Excel and Outlook in your resume
    — “Have a working knowledge of Microsoft Office (Word, Excel, Outlook)”
Pace · Fast PacedCollaboration · MediumAutonomy · MediumDecision Impact · Team

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

  • Investigating and resolving claims
  • Maximizing payments to clients
Typical background
Experience in customer service or claims processing

Skills & requirements

Required

Customer SupportClaims InvestigationBillingProblem-solving

Preferred

Coordination Of BenefitsInsurance Billing

Stack & domain

Microsoft OfficeOutlookExcelWordCritical ThinkingProblem-solvingCommunicationHealthcareFinance

About the role

Original posting from Revecore via Ashby

At Revecore, our work helps hospitals recover the revenue they've earned so they can continue serving patients and communities. Trusted by more than 1,300 hospitals across 48 states, we combine specialized expertise with proprietary technology to solve problems others can't. Just as importantly, we've built a workplace where people support one another, embrace innovation, and are trusted to do their best work.

[https://app.ashbyhq.com/api/images/user-content/8ce29615-e176-4e92-af8d-96334dd4a9a3/61d70bb4-f686-4520-bb77-f7ea459864b1/revecore-evp-benefits-forward-v9.png]

Pay: $15/hr + Incentive Plan

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, Connecticut, Florida, Georgia, Iowa, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Michigan, Minnesota, Missouri, Mississippi, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota (CST Time Zone), Tennessee, Texas (CST Time Zone), Vermont, Virginia, Wisconsin, and West Virginia.

#LI-DNI

Revecore is an Affirmative Action/Equal Opportunity Employer committed to providing equal employment opportunities for all applicants and employees. We make employment decisions without regard to any characteristic protected by applicable law and encourage individuals of all backgrounds to apply.

Employment is contingent upon eligibility to work in the United States, verification of employment history, and successful completion of a background check.

Source: Revecore careers (Ashby)

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