Job Description

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.  

Supervises the Workers' Compensation team. Assists Workers' Compensation Director with process improvements, employee training and development. Diagnoses issues within the department and devises resolution tactics.

Duties and Responsibilities

• Supervises the Workers' Compensation Department or a group of employees in the department and performs all supervisory responsibilities described below. Identifies, manages, and resolves employee performance and disciplinary issues. Reviews, guides, and recommends actions to ensure fairness and consistency.
• Responsible for meeting and maintaining department benchmarks and goals, including revenue, aged and overall production goals.
• Develops individual and team benchmarks in order to encourage high productivity. Monitors quality and productivity and makes corrections when necessary.
• Conducts and reviews daily reports to assess employee and training issues and to ensure productive account management.
• 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.
• Develops and conducts department training. Trains new hires in general company and AcciClaim training and department-specific training. Performs continuous training through activities such as work review, QA sessions, team meetings, one-on-one coaching, etc.
• Analyzes accounts to ensure client placements meet the company's requirements and that providers place quality accounts. Recommends process changes in order to achieve more efficient resolution as needed.
• Communicates with clients, when needed, regarding account questions and concerns. Suggests solutions for problems when needed.
• Works with other departments to facilitate best practices for overall effectiveness and protocols and procedures.
• Performs special projects as assigned.
• Maintain confidential information, whether verbal, written or electronic, which I will learn in the course of my work.
• Will not access or attempt to access confidential data that is unrelated to my job duties in the course of my work.
• Will not disclose Protected Health Information (PHI) in violation of law.
• Carries out supervisory responsibilities in accordance with the company'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.

Skills and Experience

• HS diploma or equivalent required. BS/BA strongly preferred.
• One to three years Workers' Compensation experience.
• One to three years supervisory experience strongly preferred.
• Ability to communicate effectively both verbally and in writing.
• Working knowledge of computer functions including the internet, and computer software such as Microsoft Office suite; knowledge of or ability to learn AcciClaim.
• Thorough understanding of all equipment, methods, and procedures in order to effectively train new hires and to upgrade the skills of existing personnel.
• Proven ability to analyze and effectively resolve problems.
• Ability to organize and prioritize responsibilities and adapt according to situational demands.
• Demonstrated sense of personal and professional judgment and maturity.
• Willingness to take initiative on projects and responsibilities.
• Proven ability to work cooperatively with others.

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.    

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, Ohio, Oklahoma, Pennsylvania, 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.