[Remote] Workers Compensation Claims Specialist

Note: The job is a remote job and is open to candidates in USA. Revecore is a specialized claims management company that has been helping healthcare providers enhance patient care for over 25 years. The Workers' Compensation Claims Specialist will handle high-volume outbound calls to investigate and bill medical claims, ensuring maximized payments to clients.

Responsibilities

• 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)
• Investigating and resolving troubled and/or denied workers' compensation claims
• Submit the bills and proper documentation to the insurance company, or the appropriate payer, ensuring maximized payments to our clients (medical providers)
• Review the information/documentation provided by the payer in order to determine what to do next
• Participate in special projects in order to achieve goals and ensure client success

Skills

• 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 experience with Coordination of Benefits and a general understanding of insurance billing (a plus, but not required)
• 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

Benefits

• 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

Company Overview