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As an Underpayment Analyst, you will ensure hospitals receive accurate compensation for their services by examining claims and resolving reimbursement issues. You will also maintain documentation and participate in discussions to improve processes. | Candidates should have a working knowledge of healthcare billing, coding, and reimbursement methodologies, along with strong analytical and problem-solving skills. Familiarity with payer policies and healthcare billing software is also required. | 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
The Denial Recovery Analyst is responsible for reviewing managed care contracts and healthcare claims to identify underpayments. This role involves researching payor policies, appealing denied claims, and maintaining communication with clients and payors. | Candidates should have a minimum of 2 years of experience in insurance billing, denial management, or utilization review, along with knowledge of healthcare codes. A high school diploma or equivalent is required. | 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 Recovery Analyst Primarily responsible for thorough review of managed care contracts and comparison of such contracts against healthcare 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 Denial Recovery Analyst, you will: * Research commercial and governmental payor policies, clinical abstracts and studies, and other documentation related to claims payment to evaluate and appeal denied claims * Examine claims and calculate reimbursement based on contract terms to determine accuracy of payment through use of various reports and supporting documentation * Review insurance contracts to gain thorough understanding of payment methodologies * Contact insurance company to obtain missing information, explain and resolve denials and arrange for payment or adjustment processing on behalf of client * Follow up on claims in a timely fashion as outlined in Revecore and/or departmental policies and procedures * Document information in appropriate Revecore and client systems * 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 * Communicate with client contact concerning all issues related to billing, posting, contracts and all other client related issues, both in an informal manner through daily contact and formal manner through scheduled meetings * Promotes positive public relations for Revecore, including maintaining a professional attitude and approach with all payors * Build strong, lasting relationships with clients, payors and Revecore personnel * Support and direct claims to all Revecore departments and client onsite analysts * Attend client, department and company meetings * Comply with federal and state laws, company policies and procedures * All other duties as assigned You will be successful if you have: * Working knowledge of Microsoft Office suite (Word, Excel) * Moderate computer proficiency * 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 Education and Experience Requirements: * Minimum 2 years of insurance billing, denial management and/or utilization review experience: * Experience reviewing and analyzing hospital claims * Knowledge of healthcare codes including CPT, ICD-9, ICD-10, HCPC, DRG, and ability to correctly use and apply codes in operational setting * High school diploma or equivalent 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. #LI-DNI
As an Underpayment Analyst, you will ensure hospitals receive accurate compensation for their services by examining claims and resolving reimbursement issues. You will also maintain documentation and participate in discussions to improve processes. | Candidates should have a working knowledge of healthcare billing and coding, along with strong analytical and problem-solving skills. Familiarity with payer policies and healthcare reimbursement regulations is also essential. | 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. 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 ensure hospitals receive accurate compensation for their services by examining claims and resolving reimbursement issues. You will also maintain documentation to support ongoing improvement efforts within the organization. | Candidates should have a working knowledge of healthcare billing, coding, and reimbursement methodologies, along with strong analytical and problem-solving skills. Familiarity with various payer policies and healthcare billing software is also required. | 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. 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 ensure hospitals receive accurate compensation by examining claims and resolving reimbursement issues. You will investigate discrepancies and maintain thorough documentation to support ongoing improvement efforts. | 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 essential. | 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. 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 ensure hospitals receive accurate compensation for their services by examining claims and resolving reimbursement issues. You will also maintain documentation and participate in discussions to improve 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. 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 ensure hospitals receive accurate compensation for their services by examining claims and resolving reimbursement issues. You will investigate discrepancies and maintain thorough documentation to support ongoing improvement efforts. | Candidates should have a working knowledge of healthcare billing, coding, and reimbursement methodologies, along with strong analytical and problem-solving skills. Familiarity with various payer policies and healthcare billing software is also required. | 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. 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 ensure hospitals receive accurate compensation by examining claims and resolving reimbursement issues. You will also maintain documentation and participate in discussions to improve 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 essential. | 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. 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 ensure hospitals receive accurate compensation for their services by examining claims and resolving reimbursement issues. You will investigate discrepancies and maintain thorough documentation to support ongoing improvement efforts. | Candidates should have a working knowledge of healthcare billing, coding, and reimbursement methodologies, along with strong analytical and problem-solving skills. Familiarity with legal and regulatory frameworks governing healthcare reimbursement 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. 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 ensure hospitals receive accurate compensation for their services by examining claims and resolving reimbursement issues. You will also maintain documentation to support ongoing improvement efforts and participate in team discussions for process enhancement. | Candidates should have a working knowledge of healthcare billing, coding, and reimbursement methodologies, along with strong analytical and problem-solving skills. Familiarity with various payer policies and experience with healthcare billing software are also essential. | 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. 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