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.
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
The Role: Underpayment Analyst
Primarily responsible for thorough review of managed care contracts and comparison of such contracts against healthcare claims to identify denials and underpayments for the assigned client.
Your Day:
- Build strong, lasting relationships with clients, payors and Revecore personnel
- Review insurance contracts to gain thorough understanding of payment methodologies
- Examine claims and calculate reimbursement based on contract terms to determine accuracy of payment through use of various reports and supporting documentation
- Contact insurance company to obtain missing information, explain and resolve underpayments and arrange for payment or adjustment processing on behalf of client
- Contact patients to obtain missing information and coverage information.
- Prepare and submit correspondence such as letters, emails, faxes, online inquiries, appeals, adjustments, reports and payment posting
- Maintain regular contact with necessary parties regarding claims status including payors, clients, managers, and other BLS personnel
- Support and direct claims to all Revecore departments and client onsite analysts
- Attend client, department and company meetings
- Comply with federal and state laws, company and department policies and procedures
- All other duties as assigned
Is this role for you?
- Minimum 2 years of experience in health insurance claim review/medical billing
- High school diploma or equivalent
- Microsoft Office (Outlook, Word, Excel)
- Moderate computer proficiency
- 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 write 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
- Strong team player
- Commitment to company values
Work at Home Requirements:
- A quiet, distraction-free environment to work from in your home.
- 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.
Employment is contingent upon eligibility to work in the U.S., employment history verification, and a background check.
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.
Must reside in the United States within one of the states listed below:
Alabama, Arkansas, Florida, Georgia, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Massachusetts Michigan, Minnesota, Mississippi Missouri, Nebraska, New Hampshire North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Vermont, Virginia, West Virginia and Wisconsin
