Job Description

Our Company

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.

Why Revecore?

• Our medical, dental, vision, and life insurance benefits are available on day 1
• 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 uncapped paid time off  

Directs and supervises a team within the Auto Claims Department. Supervises client performance and trains and develops team members.

Responsibilities

• Responsible for meeting and maintaining region benchmarks and goals, including revenue, aged and overall production goals
• Supervises a team within the Auto Claims Department and performs all supervisory responsibilities described below
• Compiles and reviews productivity reports and audits such as revenue benchmarking, aged accounts, etc. Provides follow-up with staff and appropriate departments
• Responds to provider requests by reopening or closing accounts. Distributes or completes special projects for clients who require additional attention
• Coordinates with Senior Management to discuss issues, incentives, and special projects
• Assists with and attends continuous training through activities such as work review, QA sessions
• Lunch n Learns, team meetings, one-on-one coaching, and Continuing Education Classes
• Tracks and reports team revenue on a daily basis
• Optimize and increase Process Efficiencies
• Maintain Team Baseline
• Maintain Aging by Client
• Reviews, edits, and approves denial requests. Ensures Claims Specialists are using correct text and respond to any questions, issues, etc. with regard to the denial process
• Develops employees to be able to process their own denials
• Conducts work reviews and assesses employees' worked accounts by reviewing errors reported by regional QA Department
• Provides continuous training and assistance to team members by answering relevant questions
• Alerts Claims Specialists of daily and weekly checklist goals. Documents and reviews weekly team performance
• Reviews and investigates ICR and QA enquiries regarding client questions, issues and updates
• Works with ICR to resolve issues with client accounts.
• Performs special projects as assigned
• Maintain confidential information, whether verbal, written or electronic, which I will learn in the course of my work at Revecore
• Will not access or attempt to access confidential data that is unrelated to my job duties in the course of my work at Revecore
• Will not disclose Protected Health Information (PHI) in violation of law

Qualifications

• Ability to communicate effectively verbally and in writing
• Ability to effectively analyze and resolve problems; ability to be assertive when presenting solutions
• Ability to organize and set priorities according to situational demands and work effectively under minimal supervision
• Willingness to work cooperatively in a teamwork environment
• Thorough understanding of all equipment, methods, and procedures in order to effectively train new hires and to upgrade the skills of existing personnel

Supervisory Responsibilities

Carries out supervisory, responsibilities in accordance with Revecore's policies and applicable Federal, State, and local laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

Work at Home Requirements

• A quiet, distraction-free work environment within the home
• Secure and reliable internet connection required
• Internet speeds greater than 20 Mbps download and 10 Mbps upload
• Workspace must accommodate workstation equipment and allow for productive work performance

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, Connecticut, 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