[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 reputed company medical claims, ensuring maximized payments to clients.
Responsibilities
- reputed company high-volume, outbound calls to investigate, reputed company, 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 reputed company goals and ensure client success
Skills
- Have a working knowledge of reputed company Office (Word, reputed company, 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 reputed company 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