Jobs at Revecore

Process Colorado Medicaid applications (Long Term Care, MAGI, Non-MAGI), document actions in CBMS and company systems, maintain caseloads, meet performance and accuracy metrics, attend trainings, follow HIPAA and state/federal regulations, and perform occasional travel for visits and trainings.

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

Investigate and resolve Veterans Affairs health insurance claims and billing, follow up on unresolved claims, and facilitate payments. Work remotely with provided equipment, use Microsoft Office, multi-screen applications, and meet productivity metrics after paid training.

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.

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.

Review hospital claims to identify and resolve underpayments by investigating discrepancies, communicating with payers, submitting appeals/adjustments, documenting root causes and trends, and improving reimbursement processes while ensuring regulatory compliance.

As an Auto Claims billing specialist, you will handle high-volume calls to maximize payments on medical claims for clients, ensuring follow-up and proper billing documentation.

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

Review hospital claims to identify underpayments, investigate causes (coding, billing, payer policy), contact payers to resolve discrepancies, prepare correspondence and adjustments, document root causes and trends, and collaborate to improve reimbursement processes while maintaining regulatory compliance.

Make high-volume outbound calls to investigate, bill, and resolve denied or problem workers' compensation medical claims. Submit bills and documentation to payers, follow up on denials, coordinate with employers, insurers, attorneys and patients, and participate in team projects to maximize client payments. Use critical thinking, organization, and productivity metrics to meet performance goals.

Make high-volume outbound calls to investigate, bill, and resolve workers' compensation medical claims for provider clients. Submit bills and documentation to payers, review denials, determine next steps to maximize payments, and participate in team projects. Complete required training, meet productivity metrics, and work remotely with on-camera collaboration and provided equipment.

As an Auto Claims billing specialist, you'll make high-volume outbound calls to investigate and maximize payments on medical claims for clients, primarily hospitals.

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

The Senior Cloud DevOps Engineer will design and maintain AWS environments, implement DevOps practices, and contribute to cloud migration strategies, while collaborating with the AWS Architect.

Lead Revecore's strategic client portfolio, manage executive relationships, drive recovery plans for at-risk engagements, coordinate with Operations and leadership, mentor client success teams, track client health in CSP/Salesforce, and identify expansion opportunities to support long-term retention.

The role involves designing, deploying, and managing enterprise network infrastructures with expertise in Azure and advanced troubleshooting. Responsibilities include configuration of network devices, firewalls, and performance optimization.

The Senior Data Engineer will design and build scalable data platforms, implement data pipelines, and improve data operations using Azure and various modern tools.

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

The Head of Denials will lead Denials & Receivables solutions, drive operational strategies, manage teams, and leverage data analytics and AI technologies for optimal performance in revenue cycle management.