The Billing Advocate is responsible for the timely processing and follow-up of medical claims submitted to insurance companies. This role involves managing unpaid claims, communicating with payers and patients, and maintaining accurate account records.
Requirements overview
Candidates should have at least one year of experience in an office setting and customer service. Proficiency in Microsoft Office products and strong organizational and problem-solving skills are required.
Key skills
Medical claims processingInsurance follow-upCustomer serviceProblem-solvingTime managementOrganizationCommunicationMicrosoft OfficeData entryHealthcare terminologyAttention to detailInvestigative skills
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Revecore combines advanced technology, dedicated expertise, and exceptional client service to help health systems maximize reimbursements and minimize the challenges of identifying, recovering, and preventing underpayments and denials from commercial and government payers, and securing accurate reimbursement for Motor Vehicle and Workers’ Compensation accidents and Veterans Affairs Claims.
Partnering with Revecore means peace of mind for our clients within these specialized claims. No other company offers the same combination of custom-designed technology, process automation, and teams of clinical and claims subject matter experts, built on over 25 years of experience. As a result, we collect more reimbursements and provide more valuable process improvements than any other firm. Steadfast dedication to our clients’ success has earned us the prestigious title of #1 Best in KLAS Complex Claims for five consecutive years, solidifying our reputation as the industry leader.
For more information, please visit https://revecore.com.
HealthcareAdministrativeCustomer Service & SupportFinance & Accounting
Description
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.
Position Summary
The Billing Advocate is responsible for the timely processing and follow-up on medical claims submitted to insurance companies and other entities for payment.
Key Responsibilities
Submit on a timely basis to insurance companies' medical claims for processing.
Follow up with all payers to validate submission of hospital or physician status forms within adjudication process.
Follow up on unpaid claims within standard billing cycle time frames.
Call insurance companies regarding payments and denials to check on status and obtain EOBs.
Identify and bill secondary or tertiary insurances.
Answer all patient or insurance company telephone inquiries pertaining to assigned accounts.
Balance new work and follow up accounts within workload.
Work Experience & Skills
Prior experience with insurance claims is preferred but not required
Prior experience in an administrative or clerical role in an office environment preferred
Minimum of one year experience in office setting
Minimum one year experience with customer service
Knowledge, Skills, Abilities and Competencies:
Consistent ability to work with a high volume of accounts
Focused and self-motivated
Excellent investigative and problem-solving abilities
Close attention to detail and accuracy
Exceptional organization, time management, prioritization skills
Ability to communicate effectively over the telephone and in writing
Ability to contribute in a positive manner
Proficient using Microsoft office products such as Word, Excel, Outlook
Knowledge of Healthcare Terminology preferred 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
Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads
Revecore will provide you with your equipment - your workspace area must accommodate all workstation equipment (laptop, monitor, keyboard, mouse, docking station, and headset)
Employment is contingent upon eligibility to work in the U.S., employment history verification, and a background check.
Must reside in the United States within one of the states listed below:
Alabama, Arkansas, Delaware, Florida, Georgia, Illinois, 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.