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Job Summary & Responsibilities
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.
Location: Remote -- USA
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: Operations Support Coordinator:
As an Operations Support Coordinator within our Revenue Integrity team, you hold a pivotal position in supporting analysts as they work towards ensuring hospitals receive accurate compensation for the services they provide. Your role involves a variety of administrative and facilitation tasks, information gathering, and client support. Strong organizational skills, attention to detail, a service mindset, and the ability to manage competing priorities are essential in this role.
As an Operations Support Coordinator within our Revenue Integrity team, you hold a pivotal position in supporting analysts as they work towards ensuring hospitals receive accurate compensation for the services they provide. Your role involves a variety of administrative and facilitation tasks, information gathering, and client support. Strong organizational skills, attention to detail, a service mindset, and the ability to manage competing priorities are essential in this role.
Your Day:
- Utilize company best practices, along with technology-enabled resources and other internal tools, to identify recoveries requiring operational support or client intervention to advance the claim through the underpayment review process.
- Create, reconcile, and submit various requests to clients through established processes.
- Contact insurance companies to obtain missing information.
- Prepare and attach documentation such as letters, medical records, or itemized bills to support underpayment recovery efforts.
- Review client systems to determine when work scope requirements are met.
- Verify payments and adjustments meet compliance requirements and ensure client systems are properly reconciled.
- Review, reconcile, and submit client specific reports to appointed recipients.
- Actively participate in discussions, meetings, and brainstorming sessions to identify process improvements through automation and other efficiencies.
- Demonstrate a commitment to upholding ethical standards and compliance with relevant regulations and guidelines in all reimbursement optimization activities.
You'll be successful if you have:
- Basic knowledge of healthcare revenue cycle (underpayments) practices.
- Experience with healthcare billing software and databases (EPIC, Cerner, Meditech).
- Ability to navigate multiple systems and applications.
- Moderate computer proficiency including MS Excel, Word and Outlook.
- Organizational and prioritization skills to handle multiple projects across numerous client engagements.
- Effective time-management to ensure tasks are completed within appropriate time frames and intervals.
- Strong analytical and problem-solving abilities to determine appropriate course of action.
- Detail-oriented approach to ensure accuracy in applying guidelines and documenting findings for audit and compliance purposes.
- Effective communication skills to collaborate with internal teams, payers, and external stakeholders.
- Previous experience working in a remote environment.
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, Illinois, 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
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