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Revecore Technologies

Full Time Remote 10.56 - 12.04 USD Today

Job description

Revecore is an innovative, technology-driven company that is committed to helping our clients, our employees, our company, and our communities thrive. An award-winning services firm, partnering with hospitals and health systems, providing the momentum they need to maintain a strong revenue cycle amid today’s evolving healthcare environment.

With a 20+ year history, Revecore is the leading provider of revenue integrity and complex claims solutions for hospitals.

We offer a dynamic and flexible work environment, full of opportunity for motivated, hands-on team players. We strive each day to solve complex business problems and find new ways to enhance the efficiency, effectiveness, and quality of our services. If those attributes resonate with you, regardless of where you are located—we want you on our team!

Location: Remote

The Role:

Join our innovative team as a Medicaid Claims Analyst. Primarily responsible for thorough review of managed care contracts and comparison of such contracts against Medicaid claims to identify underpayments for the assigned client. Apply now and become an integral part of our mission to deliver efficient, accurate, and compassionate healthcare payment solutions!

As a Medicaid Claims Analyst, you will:

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
Prepare and submit correspondence such as letters, emails, online inquiries, appeals, adjustments, reports and payment posting
Maintain regular contact with necessary parties regarding claims status including payors, clients, managers, and other Revecore personnel
Direct claims to and coordinate and support Revecore specialty units
Attend client, department and company meetings
Comply with federal and state laws, company policies and procedures

You will be successful if you have:

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 define problems, collect data, establish facts and draw valid conclusions
Strong customer service orientation
Excellent interpersonal and communication skills
Commitment to company values
Associate or Bachelor’s Degree preferred but not required

Education and Experience Requirements

Minimum 3-years Medicaid experience working with claims and/or billing
Accounts receivable/follow-up experience
Computer proficiency including working knowledge of Microsoft Word and Excel
High school diploma or equivalent

Why Join Revecore?

Fully remote work.
Medical, dental, vision, and life insurance benefits are available from the first day of employment.
401(k) with employer match after 90 days.
Generous PTO plan
12 paid holidays
All computer and necessary hardware are provided to you.

About Revecore

As a multi-year award winning services team, we partner with hospitals and health systems to become a trusted advisor and extension of their billing office.

Our Revenue Integrity division, based out of Crescent Springs, KY and Cincinnati, OH, specializes in identifying, recovering, and preventing underpayments and denials from commercial and government payers. Our data-driven solutions are fueled by The Bridge, our proprietary technology that delivers actionable intelligence and our people allow us to leverage that technology to strengthen a hospital’s internal systems and prevent future losses.

Our Complex Claims division, based out of Franklin, TN, delivers reimbursement solutions that identify and recover overlooked revenue for hospitals and health systems nationwide. AcciClaim, our innovative technology platform seamlessly resolves accident-related medical claims, securing accurate reimbursement while eliminating the administrative pain of billing for Motor Vehicle and Workers’ Compensation accidents and Veterans Affairs Claims.

Revecore is committed to creating a diverse and inclusive work environment where all employees feel valued, respected, and supported. Our company is an equal opportunity employer that does not discriminate on the basis of 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 value diversity and inclusion and believe that everyone should be treated with respect and dignity. We encourage all qualified individuals to apply for our open positions and welcome candidates from all backgrounds to join our team.

This opportunity is remote and open to candidates in Alabama, Arkansas, Arizona, Connecticut, Delaware, Florida, Georgia, Iowa, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Maryland, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, New Jersey, New Mexico, Nevada, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Wisconsin, and West Virginia.

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