Jobs at Revecore

Supervise an Auto Claims team to meet revenue and production goals. Train, coach, and develop staff; review productivity reports and audits; manage denials and provider requests; coordinate with senior management; ensure PHI confidentiality; perform QA reviews, special projects, and daily revenue tracking to optimize process efficiency.

Make high-volume outbound calls to investigate, bill, and resolve workers' compensation medical claims for hospitals and providers. Submit bills and documentation to payers, follow up on denials, review payer responses, coordinate with employers/attorneys/patients, and support team projects to maximize client revenue. Training provided; performance measured by productivity metrics.

Senior product executive responsible for defining and driving product vision, strategy, and roadmaps across Revecore's solution portfolio. Lead and scale a Product Management organization, partner with engineering, operations, data, and client success to deliver measurable customer and business value, ensure data security and compliance, and communicate product impact to executive stakeholders.

Handle high-volume outbound calls to investigate, bill, and resolve denied or problem workers' compensation claims for medical providers. Submit bills and documentation to payers, follow up on payments, review payer responses, and escalate or rework claims to maximize client revenue. Participate in team projects, meet productivity metrics, and use provided training and knowledgebase to maintain performance.

Design, build, and maintain scalable data lakehouse platforms and ELT pipelines. Improve engineering practices, develop automation/tooling, monitor performance, reduce costs, and support platform modernization across Azure and cloud data technologies.

Perform high-volume outbound calls to investigate auto accidents, identify the liable payer, submit bills and documentation to insurers, follow up on unpaid or denied claims, resubmit for additional payment, and support denial reports, audits, and team productivity metrics.

Contract 1099 role to audit and improve Salesforce for Sales Operations: redesign a custom object, perform a full field audit, build user guides and customer journey documentation, and deliver a maintainable handoff package for the internal team.

Update patient accounts using client and hospital systems, monitor and resolve information requests, liaise between claims representatives and providers, follow up with contacts, assist IT with access issues, and complete special projects.

The Data Operations Analyst at Revecore will manage data operations, troubleshoot issues, and optimize data pipelines while collaborating with Data Engineering.

Lead AI, automation, and UX roadmap for Complex Claims platform. Drive discovery, data analysis, user stories, system mapping, UAT, and cross-functional delivery. Mentor PMs and align stakeholders to improve operational efficiency and financial outcomes.

Make high-volume outbound calls to investigate auto accidents, identify payers, submit medical claims and documentation to insurers, follow up on denials, resubmit for additional payments, and support audits and denial reports to maximize provider payments.

Lead end-to-end ML system development: data exploration, model research, training, deployment, evaluation, and MLOps. Collaborate cross-functionally to prioritize claims, improve matching, measure business impact, and own a technical workstream.

Lead definition, prioritization, and delivery of agentic AI workflows for revenue cycle operations. Manage backlog, write and maintain PRDs, coordinate phase-gate decisions, measure adoption and revenue impact, and collaborate with AI engineering, data teams, and stakeholders to responsibly scale autonomy. Build foundational processes, templates, and prioritization frameworks while translating ops workflows into engineering requirements and ensuring trust and accuracy before advancing automation phases.

Perform retrospective outpatient hospital coding and billing reviews, respond to coding/billing inquiries, provide correction recommendations with supporting rationale, research payer and coding guideline changes, understand payment methodologies, ensure compliance with laws and policies, build relationships with internal teams, and support other business needs in a remote environment.

Design, implement, and maintain scalable, secure multi-cloud infrastructure (Azure and AWS) using IaC; build and optimize CI/CD pipelines; automate operations and database deployment; implement observability and security controls (HIPAA/SOC2); lead incident response and mentor engineers.

The Denials Recovery Analyst reviews managed care contracts, evaluates denied claims, calculates reimbursements, and maintains communication with clients and payors, ensuring efficient claims processing.

As a Workers' Compensation Claims billing specialist, you'll make outbound calls to maximize payments on medical claims, investigate, and resolve billing issues while ensuring accurate documentation to insurance companies.