Revecore

Analyst

• Examine hospital claims to verify proper reimbursement
• Identify discrepancies between expected and actual reimbursement amounts using company best practices, technology-enabled worklists, and internal tools
• Investigate payment variances, coding errors, billing discrepancies, and incorrect payer-policy application
• Contact insurance companies to obtain missing information, resolve underpayments, and arrange payment or adjustment processing on behalf of clients
• Prepare and submit letters, emails, faxes, online inquiries, appeals, adjustments, reports, and payment postings
• Maintain documentation of underpayment root causes, trends, outcomes, and lessons learned
• Participate in discussions, meetings, and brainstorming sessions to improve processes
• Uphold ethical standards and comply with healthcare reimbursement regulations and organizational policies
• Collaborate with stakeholders to optimize reimbursement processes
• Perform other duties as assigned

Underpayment Analyst

Claims Specialist

• Make high-volume outbound calls to investigate, bill, and maximize payments on medical claims to insurance companies on behalf of hospitals and medical providers
• Investigate and research auto-accident details to determine the payer
• Contact patients, insurance company representatives, and attorneys through outbound calls
• Submit bills and proper documentation to insurance companies
• Determine follow-up steps and resubmit incorrectly paid bills for additional payment
• Contribute to denial reports, audits, and overall team support
• Maintain productivity and performance metrics in a high-volume call-center environment

Auto Claims Specialist

Strategy

• Develop and maintain the company's long-term growth strategy
• Support all phases of M&A strategy & execution
• Monitor and analyze industry trends in revenue cycle management
• Lead ongoing competitive intelligence efforts
• Identify and evaluate adjacent markets and new service lines
• Support company-wide evaluation of AI vendors and technology investments
• Build and prioritize business cases for strategic initiatives
• Collaborate across functional teams to design, plan, and support execution of strategic and transformation initiatives
• Conduct expert interviews, client research, and data analysis to surface insights
• Support executive leadership with board materials and special projects.

Strategy Lead

Product Manager

• Own the roadmap for AI, automation, and user experience initiatives within the Complex Claims platform.
• Lead end-to-end product discovery, business case development, and execution.
• Partner closely with Engineering, Operations, Data, and executive stakeholders.
• Mentor and guide other Product Managers.
• Collaborate across Revecore service lines to drive shared innovation and platform consistency.

Underpayment Analyst

Auto Claims Specialist

Strategy Lead

Senior Product Manager