Revecore

Manage customer support operations, lead teams, and improve service quality. | 8 years of leadership experience in customer support, skills in data analysis, team management, and process improvement. | Ready to make a difference for hospitals while working from home? 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.   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   Pay $15hr   The Role: Customer Operations (Workers Compensation Claims)   As a Workers' Compensation Claims billing specialist at Revecore, you will 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).     Training: Our comprehensive training begins on your first day and lasts 8-10 business days. It is led by instructors and incorporates interactive discussions and hands-on activities to accommodate diverse learning preferences. Success starts with training. That's why we ask all new team members to be fully present each day, participate actively, and remain on camera.   Your Day: You will be busy investigating and resolving troubled and/or denied workers' compensation claims. This will require a high volume of outbound calls to patient employers, insurance company representatives, attorneys and patients. Once confirmed, you will submit the bills and proper documentation to the insurance company, or the appropriate payer, ensuring maximized payments to our clients (medical providers). If the bills aren't paid correctly, you will review the information/documentation provided by the payer in order to determine what to do next. You will also contribute to your team by participating in special projects in order to achieve goals and ensure client success.   Is this role for you? Revecore encourages our employees to be driven and highly motivated to be successful. Consider this role if you: * Want to grow a career * 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 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 * Have experience with Coordination of Benefits and a general understanding of insurance billing (a plus, 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 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.   Must reside in the United States within one of the states listed below: Alabama, Arkansas, Delaware, Florida, Georgia, Iowa, Indiana, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Virginia, Wisconsin, and West Virginia   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.   #LI-DNI

Review medical records and documentation to validate billable services, analyze denials, and provide remediation recommendations. | Must be an RN with at least 5 years of clinical or utilization review experience, proficient in healthcare billing, and familiar with insurance policies and medical documentation. | Ready to make a difference for hospitals while working from home? 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. 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 Location: Remote-USA The Role: Denial Prevention Nurse Consultant Primarily responsible for thorough review of medical records and other medical documentation to determine appropriate billable services for hospital to construct an appeal for payment based on medical necessity or payer specific guidelines or criteria. Responsible for providing clients trending, revenue cycle fail point analysis, and best practice remediation recommendations. Training: Our comprehensive training begins on your first day and lasts 90 business days. It is led by instructors and incorporates interactive discussions and hands-on activities to accommodate diverse learning preferences. As a Denial Prevention Nurse Consultant, you will: • Build strong, lasting relationships with clients, payors and Revecore personnel • Analyze medical records or other medical documentation to validate services, tests, supplies and drugs performed for accuracy related to billing for services rendered • Identify and interpret medical, radiological, laboratory or other tests and procedures as well as pharmaceutical drugs • Review and understand managed care contracts, hospital billing statements/bills and insurance denials • Research commercial and governmental payor policies, clinical abstracts and studies, and other documentation related to claims payment to evaluate and appeal denied claims. • Perform research regarding denials and effectively communicate information to associates, colleagues, managers and clients • Contact insurance company to obtain missing information, explain and resolve underpayments and/or denials 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 • Perform denial trending for clients, identify fail points within the revenue cycle and on the payer side, and provide best practice recommendations to clients and Revecore managers. • Maintain regular contact with necessary parties regarding claims status including payors, clients, managers, and other Revecore personnel • Maintain confidentiality of information in compliance with company policy and HIPAA • Attend client, department and company meetings • Lead client meetings and perform consulting services to client's as it relates to medical necessity of services performed and proper vetting of payers criteria Is this role for you? Revecore encourages our employees to be driven and highly motivated to be successful. We get excited by candidates who: • College degree or diploma from school of nursing -- must be RN • Clinical nursing experience working in hospital environment, preferably in ER, Critical Care or diagnostic services • Minimum 5 years of related experience and/or training in utilization review or patient accounting • Are highly proficient with Interqual and MCG guidelines and demonstrate appropriate application to claim appeal argument. • Understand patient accounting documents -- UB04, EOB • Have a working knowledge of Microsoft Office (Word, Excel, Outlook) • Possess technical proficiency to work on multiple computer screens and software applications simultaneously • Are able to read and interpret an extensive variety of documents such as medical records, patient care systems, instructions, policies and procedures in written (in English) and diagram form • Can maintain strong performance in a fast-paced environment with productivity metrics • Have strong analytical skills, attention to detail, and problem-solving skills to identify underpayments and discrepancies • Have experience with healthcare billing software and databases (EPIC, Cerner, Meditech) 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 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. 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 Stateswithin one of the states listed below: Alabama, Arkansas, Delaware, Florida, Georgia, Iowa, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Maryland, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Virginia, Wisconsin, and West Virginia

Analyze healthcare claim workflows, perform data research, write user stories, and collaborate with engineering teams to improve automation and accuracy. | 3+ years in healthcare technology or revenue cycle roles, proficiency in SQL, experience with data mapping and system integrations, and strong analytical and communication skills. | Our Company Start your next chapter at Revecore! For over 25 years, we’ve 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.  As part of our team, you’ll be rewarded with:  * Comprehensive medical, dental, vision, and life insurance benefits from the start of your employment  * 12 paid holidays and flexible paid time off     * 401(k) with company match    * Employee Resource Groups that build community   * Career growth opportunities    * An excellent work/life balance  Location: Remote-US    Revecore is a leader in complex claim and underpayment recovery solutions — helping hospitals and health systems optimize reimbursement and strengthen revenue integrity. We’re expanding our Complex Claims Product team and hiring a Technical Product Owner to support our growing business and optimization initiatives.   In this role, you’ll combine your analytical, technical, and business skills to turn complex healthcare problems into actionable, data-driven solutions. You’ll work directly with Product Management, Engineering, and Operations to analyze trends, validate issues, and define product enhancements that improve automation, accuracy, and efficiency.   This position is ideal for someone who enjoys getting into the data, understanding system logic, and writing clear user stories that guide development from concept to delivery.    Responsibilities: * Partner with Product Management to analyze and define business problems across complex claim workflows for VA, Auto, Workers Compensation, and Denials & Receivables service lines * Perform data research and trend analysis to quantify issues, validate root causes, and support prioritization of enhancement backlog items * Write well-structured user stories and acceptance criteria that guide engineering teams in designing and implementing solutions * Document and map system logic, data flow, and dependencies within Revecore’s core platforms * Collaborate with developers to ensure technical feasibility and alignment with business needs * Support UAT and production validation to ensure new features meet success criteria and deliver measurable improvement * Maintain a clear view of system performance and recurring issues to inform roadmap decisions   Qualifications: * 3+ years of experience in technical product ownership, business systems analysis, or related roles within healthcare technology or revenue cycle management * Strong working knowledge of healthcare claims, payments, adjustments, and denial processes * Strong proficiency in SQL and relational data modeling with hands-on experience using data to define, analyze, and validate business problems * Proven ability to write clear, testable user stories and collaborate effectively with engineering teams in Agile environments * Experience mapping data and system integrations (APIs, ETL workflows, or financial transaction systems) * Excellent analytical, problem-solving, and communication skills * Familiarity with tools such as Azure DevOps, Jira, or similar backlog management systems   Ideal Candidate Profile: * A data-driven problem solver who thrives on finding clarity in complex systems * Understands both the business logic of healthcare reimbursement and the technical mechanisms that drive automation and accuracy * Confident working independently to research data, validate assumptions, and present recommendations * Values collaboration and transparency — comfortable working closely with product, engineering, and operations   Work at Home Requirements:   * A quiet, distraction-free environment to work from in your home.    * A secure home internet connection with speeds >20 Mbps for downloads and >10 Mbps for uploads is required.  * 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 affirmative action-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, 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

Lead the transformation of the enterprise training function, oversee LMS implementation, and develop scalable training content and processes. | Over 8 years in Learning & Development, leadership experience, proven LMS project management, instructional design expertise, and strong communication skills. | Our Company:   Start your next chapter at Revecore! For over 25 years, we’ve 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.     As part of our team, you’ll be rewarded with:  * Comprehensive medical, dental, vision, and life insurance benefits from the start of your employment  * 12 paid holidays and flexible paid time off     * 401(k) contributions    * Employee Resource Groups that build community   * Career growth opportunities    * An excellent work/life balance  Location: Remote – USA     As Revecore’s Director of Training you will:  Lead the transformation of the enterprise training function by consolidating disparate training teams into a unified organization. This role will drive the adoption of a new Learning Management System (LMS), redesign training content to balance instructor-led and eLearning modalities, and establish scalable processes that deliver consistent, high-quality learning experiences across all business units.   The Role:   Strategic Leadership * Define and execute a vision for an integrated training organization that supports enterprise growth and operational excellence. * Align training strategy with business objectives, compliance requirements, and workforce development goals. Organizational Design & Team Management * Re-engineer the training structure, combining existing teams into two core functions: * Training Delivery Team: Facilitates live and virtual sessions, manages learner engagement, and ensures readiness. * Content & LMS Team: Oversees instructional design, LMS administration, and content lifecycle management. * Recruit, develop, and mentor team members, fostering a culture of collaboration and continuous improvement. Learning Technology & LMS Implementation * Lead the implementation of a new LMS, ensuring seamless integration with existing systems and processes. * Establish governance for LMS operations, reporting, and analytics to measure training effectiveness. Content Strategy & Development * Transition from heavily instructor-led training to blended learning models combining eLearning, virtual classrooms, and interactive workshops. * Standardize onboarding and core training content across all business units, incorporating assessments and feedback loops. Process Optimization & Metrics * Develop and enforce content standards, enrollment processes, and course documentation (syllabi, objectives, assessments). * Implement feedback mechanisms and performance metrics to evaluate training outcomes and drive continuous improvement. Success Indicators * Successful consolidation of training teams and processes. * Full deployment and adoption of the new LMS within defined timelines. * Increased scalability and efficiency of training delivery. * Positive learner feedback and measurable improvement in operational performance You’ll be successful if you have:  * Bachelor’s degree in Education, Organizational Development, or related field; Master’s preferred. * 8+ years of experience in Learning & Development, with at least 3 years in a leadership role. * Proven track record in LMS implementation and managing enterprise-wide training initiatives. * Strong knowledge of instructional design principles and blended learning strategies. * Excellent communication, change management, and stakeholder engagement skills. Work at Home Requirements:  * A quiet, distraction-free environment to work from in your home.    * A secure home internet connection with speeds >20 Mbps for downloads and >10 Mbps for uploads is required.  * 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, 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

Supporting claims accuracy, training, quality assurance, and analyzing discrepancies in healthcare reimbursement processes. | Moderate knowledge of healthcare billing, coding, payer policies, and experience with healthcare software and regulations. | Location: Remote-USA   The Role: Operations Specialist As an Operations Specialist at Revecore, you hold a pivotal position in ensuring hospitals receive accurate compensation for the services they provide. In this role you will leverage subject matter expertise to improve the accuracy, quality and prioritization of claims delivered to our analyst worklists. Each day may look a little different as you balance the various responsibilities of supporting your team; however, a portion of your time will be reserved to test and provide insights on new AI models that will improve results for your team, for Revecore and our Clients.     As an Operations Specialist, you will: * Provide training and onboarding support to new analysts as outlined in the Training and Development Onboarding programs. * Provide assistance to address analysts' technical questions and needs on claims handling. * Participate in the quality assurance process for the department, ensuring all applicable guidelines/ deadlines are successfully achieved. * May review and approve adjustments on claims, up to a predetermined amount. * Review claims associated with new AI models that will drive improvements in the assignment and prioritization of claims in the future. * Utilize subject matter expertise to research and identify new underpayment opportunities outside of technology enabled worklists. * Investigate reasons for discrepancies, such as payment variances, coding errors, billing discrepancies, or incorrect application of payer policies. * Maintain thorough documentation, including root cause of underpayment issues, trends, outcomes, and lessons learned to support ongoing improvement efforts and knowledge sharing within the organization. * Actively participate in discussions, meetings, and brainstorming sessions where team members contribute insights and suggestions for improving processes. * Demonstrate a commitment to upholding ethical standards and compliance with relevant regulations and guidelines in all reimbursement optimization activities.     Is this role for you? Revecore encourages our employees to be driven and highly motivated to be successful. We get excited by candidates who: * Want to grow a career * Have moderate 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 * Have strong analytical skills, attention to detail, and problem-solving skills to identify underpayments and discrepancies * Have a working knowledge of healthcare billing, coding, and reimbursement methodologies * Can navigate and interpret various payer policies, including Medicare, Medicaid, and Commercial insurance guidelines. * Have experience with healthcare billing software and databases (EPIC, Cerner, Meditech) * Have familiarity with legal and regulatory frameworks governing healthcare reimbursement, such as HIPAA, CMS regulations, and state-specific requirements. * Excellent verbal and written communication skills to convey complex information to individuals with minimal healthcare or claims background.     How we'll set you up for success: * Access to a robust knowledgebase for continued reference in your role. * Visibility to your individual performance metrics enables you to set goals. * Involved management who leans in to support your productivity metrics.   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.    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, Connecticut, Florida, Georgia, 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

As an Underpayment Analyst, you will examine hospital claims to ensure accurate reimbursement and resolve discrepancies with insurance carriers. Your role involves maintaining documentation and participating in discussions to improve reimbursement processes. | Candidates should have a working knowledge of healthcare billing and coding, as well as strong analytical and problem-solving skills. Familiarity with payer policies and healthcare reimbursement regulations is also important. | Ready to make a difference for hospitals while working from home? 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.   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   Location: Remote-USA   The Role: Underpayment Analyst As an Underpayment Analyst at Revecore, you hold a pivotal position in ensuring hospitals receive accurate compensation for the services they provide. Your role involves examining hospital claims to verify proper reimbursement and work with stakeholders to resolve issues and optimize reimbursement processes while adhering to regulatory guidelines and organizational policies.   Training: Our comprehensive training begins on your first day and lasts 90 business days. It is led by instructors and incorporates interactive discussions and hands-on activities to accommodate diverse learning preferences.     As an Underpayment Analyst, you will: * Utilize company best practices along with technology enabled worklist and other internal tools to identify discrepancies between expected reimbursement and actual reimbursement amounts from insurance carriers. * Investigate reasons for discrepancies, such as payment variances, coding errors, billing discrepancies, or incorrect application of payer policies. * Contact insurance companies 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, faxes, online inquiries, appeals, adjustments, reports and payment posting. * Maintain thorough documentation, including root cause of underpayment issues, trends, outcomes, and lessons learned to support ongoing improvement efforts and knowledge sharing within the organization. * Actively participate in discussions, meetings, and brainstorming sessions where team members contribute insights and suggestions for improving processes. * Demonstrate a commitment to upholding ethical standards and compliance with relevant regulations and guidelines in all reimbursement optimization activities. Is this role for you? Revecore encourages our employees to be driven and highly motivated to be successful. We get excited by candidates who: * Want to grow a career * 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 * Have strong analytical skills, attention to detail, and problem-solving skills to identify underpayments and discrepancies * Have a working knowledge of healthcare billing, coding, and reimbursement methodologies * Can navigate and interpret various payer policies, including Medicare, Medicaid, and Commercial insurance guidelines. * Have experience with healthcare billing software and databases (EPIC, Cerner, Meditech) * Have familiarity with legal and regulatory frameworks governing healthcare reimbursement, such as HIPAA, CMS regulations, and state-specific requirements.   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 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.  Must reside in the United States within one of the states listed below: Alabama, Arkansas, Connecticut, Florida, Georgia, 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.   Revecore is an affirmative action-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. #LI-DNI

Investigate, research, and follow up on health insurance claims to ensure maximum payment for clients, including handling denial reports and audits. | Experience with commercial health, Medicare, and Medicaid claims, billing forms, EPIC, Microsoft Office, and ability to work in a fast-paced environment with productivity metrics. | Ready to make a difference for hospitals while working from home? 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.   Starting Pay: $17.50hr   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: Health Claims Specialist As a Health Claims Specialist at Revecore, you will bill and investigate health insurance claims to ensure maximum payment from insurance companies on behalf of our clients (hospitals and medical providers).   Training: Our comprehensive training begins on your first day and lasts 8-10 business days. It is led by instructors and incorporates interactive discussions and hands-on activities to accommodate diverse learning preferences.   Your Day: You will be busy investigating and researching health insurance claims, following up on unresolved claims to facilitate payment of claims for commercial health, Medicare, and Medicaid, ensuring maximized payments to our clients (medical providers). You will also contribute to your team with various denial reports, audits, and overall support.   Is this role for you: * Has experience researching and resolving claims for commercial health, Medicare, and Medicaid. * Knows how to file correct UB04's and 1500 HCFA's with subrogation information to payers for payment. * Having a familiarity with billing health insurance as part of auto accidents. * Conducts timely follow-up activities to determine claim status and collect and/or provide information to resolve the claim. * Wants to grow a career * Has experience working in EPIC * 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   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 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.  Must reside in the United States within one of the states listed below:   Alabama, Arkansas, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Maine, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Virginia, Wisconsin, and West Virginia   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.   #LI-DNI

The Senior Cloud DevOps Engineer will design, implement, and maintain scalable, secure, and reliable cloud infrastructure to support Revecore’s applications. This role will focus on automation, CI/CD pipelines, observability, and multi-cloud operations to enable efficient delivery of features across engineering teams. | Candidates should have 6+ years of experience in DevOps or Cloud Engineering, with proven expertise in Azure and AWS services. Strong automation skills, experience with CI/CD pipelines, and proficiency in scripting languages are essential. | Our Company:     Start your next chapter at Revecore! For over 25 years, we’ve 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.     As part of our team, you’ll be rewarded with:  * Comprehensive medical, dental, vision, and life insurance benefits from the start of your employment  * 12 paid holidays and flexible paid time off     * 401(k) contributions    * Employee Resource Groups that build community   * Career growth opportunities    * An excellent work/life balance  Location: Remote – USA     The Senior DevOps Cloud Engineer will design, implement, and maintain scalable, secure, and reliable cloud infrastructure to support Revecore’s applications. This role will focus on automation, CI/CD pipelines, observability, and multi-cloud operations to enable efficient delivery of features across engineering teams. While today’s platform is primarily hosted in Azure, the engineer will also play a critical role in expanding our presence in AWS, ensuring consistency and best practices across both cloud environments. The ideal candidate has deep cloud expertise, strong automation skills, and experience working in environments built on .NET, SQL Server, and modern cloud services. Essential Duties and Responsibilities * Design, implement, and maintain infrastructure in Azure and AWS using Infrastructure as Code (Terraform, Bicep, or CloudFormation). * Build and optimize CI/CD pipelines in Azure DevOps and AWS CodePipeline/CodeBuild, enabling reliable deployments for .NET, SQL Server, Angular, and cloud-native services. * Automate operational tasks including provisioning, scaling, patching, and environment validation across both Azure and AWS. * Implement and enhance monitoring, logging, and alerting using Azure Monitor, Application Insights, AWS CloudWatch, and ELK/Prometheus/Grafana. * Collaborate with development teams to design applications for scalability, resiliency, and security across cloud providers. * Integrate database operations (SQL Server/T-SQL, RDS, DynamoDB) into CI/CD and automated maintenance pipelines. * Drive improvements in infrastructure security, including IAM roles/policies, compliance requirements (HIPAA, SOC2), and secure networking in multi-cloud environments. * Lead incident response and root cause analysis for cloud and deployment-related issues across both platforms. * Mentor engineers on DevOps tools, practices, and cloud technologies, with emphasis on multi-cloud strategy. Minimum Qualifications * 6+ years of experience in DevOps, Cloud Engineering, or related roles. * Proven expertise with Azure services (App Services, Azure SQL, AKS, networking) and strong working knowledge of AWS (EC2, S3, RDS, IAM, VPC). * Experience designing CI/CD pipelines in Azure DevOps and exposure to AWS native CI/CD services. * Proficiency with scripting/programming languages such as PowerShell, Python, or Bash. * Hands-on experience with containerization and orchestration (Docker, Kubernetes, AKS, EKS). * Solid understanding of networking, DNS, firewalls, and load balancing in cloud environments. * Database familiarity, particularly SQL Server/T-SQL and AWS RDS, with ability to automate deployment and maintenance. * Strong problem-solving and troubleshooting skills; able to lead incident response. * Excellent written and verbal communication skills; able to collaborate across teams. Preferred Qualifications * Experience with Infrastructure as Code tools (Terraform, Bicep, AWS CloudFormation). * Exposure to serverless architectures (AWS Lambda, Azure Functions). * Experience managing multi-cloud deployments and implementing consistent governance across providers. * Familiarity with healthcare IT environments, EDI transactions (837/835), and HIPAA compliance. * Background in secrets management (HashiCorp Vault, AWS Secrets Manager, Azure Key Vault). Work at Home Requirements: * A quiet, distraction-free environment to work from in your home.    * A secure home internet connection with speeds >20 Mbps for downloads and >10 Mbps for uploads is required.  * The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive.    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.     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, Delaware, Florida, Georgia, Iowa, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Maryland, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Virginia, Wisconsin, and West Virginia

The Billing and Coding Specialist performs retrospective outpatient coding and billing reviews to ensure accurate reimbursement for hospital clients. They support internal and external customers by providing timely responses to coding and billing inquiries. | Candidates must have AAPC or AHIMA Coding certification and at least 1 year of hospital coding or auditing experience. A high school diploma is required, along with proficiency in Microsoft Office and strong computer navigation skills. | We're GROWING! Ready to make a difference for hospitals while working from home? 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.   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   Location: Remote -- USA   The Role: Performs retrospective outpatient coding and billing reviews in coordination with internal staff in our mission to capture full, fair, and accurate reimbursement for our hospital clients. As a Billing and Coding Specialist -- Outpatient, you will: * Support internal and external customers by providing accurate and timely responses to coding and billing questions. * Perform retrospective coding and billing reviews on outpatient hospital claims and assistance with outpatient claims. * Provide correction recommendations to internal associates or clients, and support recommendations with rationale that may include coding guidelines, industry standard billing guidelines, or payer specific guidelines. * Research and stay current on industry changes with regards to coding guidelines and payer specific billing guidelines for commercial and government payers * Comprehend payment methodologies and how they apply to billing and coding scenarios. * Build strong, lasting relationships with Revecore personnel. * Attend department and company meetings as required. * Comply with federal and state laws, company and department policies and procedures. * Assist with other related responsibilities to meet the needs of the business. * Perform other duties as assigned.   You will be successful if you have: * AAPC or AHIMA Coding certification required, with 1+ years hospital coding/ auditing experience i.e., CPC, COC, CIC, CCS-P, CCS * Understanding of Managed Care, Medicare and Medicaid billing and reimbursement guidelines * Understanding of inpatient and outpatient hospital reimbursement methodologies. * Mathematical skills sufficient to apply the concepts of claim payment methodologies. * Ability to read and interpret an extensive variety of documents such as claims, instructions, policies and procedures in written (in English) and diagram form. * Ability to present ideas on complex, detailed issues with ease. * Ability to define problems, collect data, establish facts and draw valid conclusions. * Strong team player, with willingness to adapt to changing priorities. * Commitment to company values. Education and Experience Requirements: * High school diploma or equivalent required. * Working knowledge of Microsoft Office suite (Word, Excel) * Eagerness to learn new technologies and develop proficiency in internal applications. * Strong computer navigation skills and experience using multiple software programs simultaneously to complete work. Work at Home Requirements: * A quiet, distraction-free environment to work from in your home. * A reliable hard-wired private internet connection that is not supplied via cellular data or hotspot is required. * Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads. * The workspace area accommodates all workstation equipment, related materials, and provides adequate surface area to be productive. Revecore 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 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, Connecticut, Florida, Georgia, 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.

Develop and maintain client relationships, generate new revenue through sales, advise clients on healthcare revenue cycle trends, and represent the company at healthcare conferences. | Minimum 10 years sales experience including 6 years in healthcare sales, strong industry relationships with hospital revenue cycle executives, proven sales quota achievement, and ability to work from home with reliable internet. | Ready to make a difference for hospitals while working from home? Start your next chapter at Revecore! For over 25 years,we'vebeen at the forefront of specialized claims management, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities.We'repowered by people, driven by technology, and dedicated to our clients and employees. Ifyou'relooking for a collaborative and diverse culture witha great work/life balance, look no further. As part of our team,you'llbe rewarded with: • Comprehensive medical, dental, vision, and life insurance benefits from the start of your employment • 12 paid holidays and flexible paid time off • 401(k) contributions • Employee Resource Groups that build community • Career growth opportunities • An excellent work/life balance Location:Remote - USA Territory: Mid Atlantic As a VP Business Development, you will: • Establish relationships with assigned clients to become a trusted advisor and thought partner not only on Revenue Cycle outlooks but also opportunities for clients to maximize earned reimbursements • Establish and grow relationships with Revenue Cycle executives within assigned territory • Advise clients of ongoing healthcare trends, vendor consolidation updates, health system M&A activity, and other applicable Revenue Cycle news • Collect and analyze data pertinent to industry behaviors to positively impact Revecore and the clients' needs • Use key business insights to elevate customer/prospect priorities and advance conversation to action • Develop prospects with specific selling strategies unique to each by understanding their current roadblocks, providing competitor intelligence (differentiators, benefits, offerings, etc.), considering client budget timelines, and outlining pathways to solution adoption across all Revecore service lines • Generate new revenue with the acquisition of new clients through cold calling, referrals, inbound leads and events, to achieve sales targets with disciplined pipeline and forecast management • Create a business strategy for penetrating new client targets and new target markets leveraging a hunter mentality and your proven ability to obtain new accounts inside established territories • Prepare quarterly business reviews and effectively community the path to quota achievement • Travel to prospective clients and relevant healthcare conferences in the assigned territory, representing and presenting the organization's services • Create/participate in thought leadership for the organization • Contribute to the creation of appropriate sales materials including pitch decks, proposals and contracts • Work independently and be a self-starter to effectively engage and present all solutions at the C-Level of decision-makers within target organizations • Communicate and collaborate effectively with all team members • Other duties as required of the Direct Sales organization and adherence to all Company policies You will be successfulif you have: • A minimum of 10 years in sales with 6 years in healthcare sales, services sales preferred • A firm understanding of healthcare Revenue Cycle management from both a front-end and back-end point of view including understanding of the Revecore service offerings, key benefits and best practices • Strong relationships within the industry - particularly with CFO's, VP's of Revenue Cycle and Directors of PFS with hospitals and health systems of larger size (i.e. 300+ beds and/or Gross Patient Revenue in excess of $1B) • A proven track record of meeting and exceeding expected sales quotas • Excellent communication and negotiation skills with the ability to deliver engaging and compelling presentations. Work at Home Requirements: • A quiet, distraction-free environment to work from in your home. • A secure home internet connection with speeds >20 Mbps for downloads and >10 Mbps for uploads isrequired. • The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive. 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. Mustresidein the United Stateswithin one of the states listed below: Alabama, Arkansas, Delaware, Florida, Georgia, Iowa, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Michigan, Missouri, Mississippi, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Virginia, Wisconsin, and West Virginia

Lead the investigation and resolution of complex production incidents while serving as the escalation point for production support engineers. Drive the development of monitoring and automation tools to enhance system reliability and performance. | Candidates must have a Bachelor's degree in a related field and at least 5 years of experience in production support or a similar role. Deep expertise in C# and .NET technologies, along with strong database and Azure experience, is required. | Our Company:     Start your next chapter at Revecore! For over 25 years, we’ve 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.     As part of our team, you’ll be rewarded with:  * Comprehensive medical, dental, vision, and life insurance benefits from the start of your employment  * 12 paid holidays and flexible paid time off     * 401(k) contributions    * Employee Resource Groups that build community   * Career growth opportunities    * An excellent work/life balance  Location: Remote – USA     Description We are looking for a Senior Production Support Engineer who will take a leadership role in maintaining the health and stability of our cloud-based enterprise application built with .NET (C#, SQL Server, T-SQL, Angular) and hosted in Azure. You will act as a technical lead in identifying, resolving, and preventing production issues, and play a key role in shaping our support operations through automation, monitoring, and process improvement. This role requires a high degree of technical expertise, operational discipline, and cross-functional communication. You’ll also mentor junior team members and contribute to engineering excellence and a strong DevOps culture. Essential Duties and Responsibilities * Lead the investigation and resolution of complex and high-impact production incidents. * Serve as the escalation point for production support engineers and coordinate cross-team collaboration during outages. * Analyze system performance and identify areas of improvement in application reliability, scalability, and observability. * Drive the development and implementation of monitoring, alerting, and self-healing capabilities for our systems. * Build automation tools to streamline incident response, environment validation, and root cause analysis. * Own post-incident reviews (PIRs), ensure timely documentation, and work with dev teams to address systemic issues. * Provide mentorship and technical guidance to other production support and engineering team members. * Collaborate with developers, QA, DevOps, and product managers to improve deployment and support processes. * Participate in on-call rotations and improve incident response readiness and tooling. Minimum Qualifications * Bachelor’s degree in computer science, computer engineering, or a related field; or equivalent practical experience. * 5+ years of experience in a production support, site reliability engineering (SRE), or DevOps role. * Deep expertise in C# and .NET technologies; able to debug production code and logs effectively. * Strong database experience including complex T-SQL queries, performance tuning, and SQL Server internals. * Advanced experience with Azure services, particularly around app hosting, monitoring, logging, and databases. * Demonstrated ability to lead incident response efforts and work under pressure. * Strong scripting skills (e.g., PowerShell, Python, Bash) to automate tasks and build operational tools. * Excellent communication and leadership skills; able to drive conversations with engineering and business stakeholders. * Experience with Azure Application Insights, Log Analytics, or other observability platforms. * Exposure to CI/CD pipelines using Azure DevOps, GitHub Actions, or similar. * Knowledge of ITIL or SRE principles, and experience establishing support SLAs and metrics. * Experience working in highly regulated or mission-critical environments. Work at Home Requirements: * A quiet, distraction-free environment to work from in your home.    * A secure home internet connection with speeds >20 Mbps for downloads and >10 Mbps for uploads is required.  * The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive.    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.     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, Delaware, Florida, Georgia, Iowa, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Maryland, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Virginia, Wisconsin, and West Virginia