Nurse Consultant
Franklin, TN · Remote
For over 25 years, Revecore has been at the forefront of specialized claims management, helping ... Understand patient accounting documents -- UB04, EOB * Have a working knowledge of Microsoft Office ...
3 Revecore Accounting Jobs Hiring Near You
Nurse Consultant
Franklin, TN · Remote
For over 25 years, Revecore has been at the forefront of specialized claims management, helping ... Understand patient accounting documents -- UB04, EOB * Have a working knowledge of Microsoft Office ...
Event Setup Specialist
Franklin, TN · Remote
Start your next chapter at Revecore! For over 25 years, Revecore has been at the forefront of ... accounting. * Demonstrated ability to adapt to multiple levels of abstraction (big picture and ...
Event Setup Specialist
Franklin, TN · Remote
Start your next chapter at Revecore! For over 25 years, Revecore has been at the forefront of ... accounting. * Demonstrated ability to adapt to multiple levels of abstraction (big picture and ...
Start your next chapter at Revecore! For over 25 years, Revecore has been at the forefront of ... accounting. * Demonstrated ability to adapt to multiple levels of abstraction (big picture and ...
Start your next chapter at Revecore! For over 25 years, Revecore has been at the forefront of ... accounting. * Demonstrated ability to adapt to multiple levels of abstraction (big picture and ...
Revecore Jobs Information
Do workers at Revecore get paid breaks?
Yes. Most people get paid breaks.
78% of people say they get paid breaks.
Based on data from 18 people who took the Breakroom Quiz between January 2025 and February 2026.
78% of people say they get paid breaks.
Based on data from 18 people who took the Breakroom Quiz between January 2025 and February 2026.
Does Revecore pay people when they’re sick?
Yes. Most people get paid when they’re sick.
89% of people say they would get paid if they were sick but scheduled to work.
Based on data from 19 people who took the Breakroom Quiz between January 2025 and February 2026.
89% of people say they would get paid if they were sick but scheduled to work.
Based on data from 19 people who took the Breakroom Quiz between January 2025 and February 2026.
At Revecore, are sick days and vacation days separate paid time off?
Sick days and vacation days are used from the same paid time off.
100% of people say they have to use vacation days when they’re out sick.
Based on data from 12 people who took the Breakroom Quiz between June 2025 and February 2026.
100% of people say they have to use vacation days when they’re out sick.
Based on data from 12 people who took the Breakroom Quiz between June 2025 and February 2026.
Is the health insurance from Revecore affordable enough for their workers?
Only some people say the health insurance costs are okay.
62% of people say the health insurance costs are okay
Based on data from 13 people who took the Breakroom Quiz between March 2025 and February 2026.
62% of people say the health insurance costs are okay
Based on data from 13 people who took the Breakroom Quiz between March 2025 and February 2026.
Do people get paid time off at Revecore?
Most people get paid time off work.
100% of people say they get paid time off.
Based on data from 12 people who took the Breakroom Quiz between June 2025 and February 2026.
100% of people say they get paid time off.
Based on data from 12 people who took the Breakroom Quiz between June 2025 and February 2026.
Do workers at Revecore worry about hours?
Most people don’t worry about getting enough hours.
100% of people report they don’t worry about getting enough hours.
Based on data from 15 people who took the Breakroom Quiz between January 2025 and September 2025.
100% of people report they don’t worry about getting enough hours.
Based on data from 15 people who took the Breakroom Quiz between January 2025 and September 2025.
Do Revecore workers get to choose the shifts they work?
Most people get to choose which shifts they work.
100% report that they have enough control over which shifts they work.
Based on data from 6 people who took the Breakroom Quiz between February 2025 and September 2025.
100% report that they have enough control over which shifts they work.
Based on data from 6 people who took the Breakroom Quiz between February 2025 and September 2025.
How easy is it for Revecore workers to change shifts?
Most people find it easy to change shifts.
100% of people report that it’s easy to change shifts if they need to.
Based on data from 12 people who took the Breakroom Quiz between January 2025 and September 2025.
100% of people report that it’s easy to change shifts if they need to.
Based on data from 12 people who took the Breakroom Quiz between January 2025 and September 2025.
How easy is it to get time off at Revecore?
Most people find it easy to get time off.
95% of people report it’s easy to get time off.
Based on data from 20 people who took the Breakroom Quiz between January 2025 and February 2026.
95% of people report it’s easy to get time off.
Based on data from 20 people who took the Breakroom Quiz between January 2025 and February 2026.
Do Revecore managers change schedules at the last minute?
Most managers don’t change people’s schedules at the last minute.
100% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 17 people who took the Breakroom Quiz between January 2025 and September 2025.
100% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 17 people who took the Breakroom Quiz between January 2025 and September 2025.
Do jobs at Revecore spill into time workers aren’t paid for?
Rarely. The job doesn't usually spill into unpaid time.
6% of people report that their job takes up time that they don’t get paid for.
Based on data from 17 people who took the Breakroom Quiz between January 2025 and September 2025.
6% of people report that their job takes up time that they don’t get paid for.
Based on data from 17 people who took the Breakroom Quiz between January 2025 and September 2025.
How easy is it to take sick days at Revecore?
Most people find it easy to take sick days.
100% of people report that it’s easy to take time off if they are sick.
Based on data from 22 people who took the Breakroom Quiz between January 2025 and February 2026.
100% of people report that it’s easy to take time off if they are sick.
Based on data from 22 people who took the Breakroom Quiz between January 2025 and February 2026.
Is working at Revecore good if you’re a parent or caregiver?
Most parents and caregivers say this is a good place to work.
93% of people who care for a child or other relative report this is a good place to work.
Based on data from 15 people who took the Breakroom Quiz between January 2025 and February 2026.
93% of people who care for a child or other relative report this is a good place to work.
Based on data from 15 people who took the Breakroom Quiz between January 2025 and February 2026.
Do people at Revecore feel treated with respect by their managers?
Most people feel treated with respect by their managers.
87% of people say they’re treated with respect by their managers.
Based on data from 15 people who took the Breakroom Quiz between January 2025 and February 2026.
87% of people say they’re treated with respect by their managers.
Based on data from 15 people who took the Breakroom Quiz between January 2025 and February 2026.
Do people at Revecore get to take their breaks without interruption?
Most people get breaks without interruption.
85% of people report that they get to take their breaks without interruption.
Based on data from 20 people who took the Breakroom Quiz between January 2025 and February 2026.
85% of people report that they get to take their breaks without interruption.
Based on data from 20 people who took the Breakroom Quiz between January 2025 and February 2026.
Is it stressful to work at Revecore?
Some people feel stressed here.
67% of people say they often feel stressed at work.
Based on data from 18 people who took the Breakroom Quiz between January 2025 and February 2026.
67% of people say they often feel stressed at work.
Based on data from 18 people who took the Breakroom Quiz between January 2025 and February 2026.
Do people at Revecore enjoy their jobs?
Only some people enjoy their job.
41% of people report they don’t enjoy their job.
Based on data from 17 people who took the Breakroom Quiz between January 2025 and February 2026.
41% of people report they don’t enjoy their job.
Based on data from 17 people who took the Breakroom Quiz between January 2025 and February 2026.
Do people at Revecore recommend working with their team?
Only some people recommend working with their team.
64% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 22 people who took the Breakroom Quiz between January 2025 and February 2026.
64% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 22 people who took the Breakroom Quiz between January 2025 and February 2026.
Do people get enough training when they start at Revecore?
Some people didn’t get enough training when they started.
38% of people report they didn’t get enough training when they started working here.
Based on data from 21 people who took the Breakroom Quiz between January 2025 and February 2026.
38% of people report they didn’t get enough training when they started working here.
Based on data from 21 people who took the Breakroom Quiz between January 2025 and February 2026.
Do people get support to advance at Revecore?
Only some people are given support to advance their career here.
In the last year, 67% of people report not being given support to advance their career here.
Based on data from 21 people who took the Breakroom Quiz between January 2025 and February 2026.
In the last year, 67% of people report not being given support to advance their career here.
Based on data from 21 people who took the Breakroom Quiz between January 2025 and February 2026.
Do people think Revecore’s headquarters understands what’s happening where they work?
Most people think headquarters doesn’t understand what’s happening where they work.
90% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 20 people who took the Breakroom Quiz between January 2025 and February 2026.
90% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 20 people who took the Breakroom Quiz between January 2025 and February 2026.
Do workers feel well informed about how Revecore is doing?
Most people feel well informed about how the company is doing.
76% of people feel that they are kept well informed about how the company is doing as a whole.
Based on data from 21 people who took the Breakroom Quiz between January 2025 and February 2026.
76% of people feel that they are kept well informed about how the company is doing as a whole.
Based on data from 21 people who took the Breakroom Quiz between January 2025 and February 2026.
What are the most popular job types at Revecore?
What are the most popular jobs at Revecore?
What are the most popular categories at Revecore?
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 14 days ago
Revecore rating
8.1
Based on 22 frontline employees who took The Breakroom Quiz
Job description
Ready to make a difference for hospitals while working from home? 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.
Revecore Perks:
- We offer paid training and incentive plans
- Our medical, dental, vision, and life insurance benefits are available from the first day of employment
- 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 generous paid time off
Location: Remote-USA
The Role: Denial Prevention Nurse Consultant
Primarily responsible for thorough review of medical records and other medical documentation to determine appropriate billable services for hospital to construct an appeal for payment based on medical necessity or payer specific guidelines or criteria. Responsible for providing clients trending, revenue cycle fail point analysis, and best practice remediation recommendations.
Training:
Our comprehensive training begins on your first day and lasts 90 business days. It is led by instructors and incorporates interactive discussions and hands-on activities to accommodate diverse learning preferences.
As a Denial Prevention Nurse Consultant, you will:
- Build strong, lasting relationships with clients, payors and Revecore personnel
- Analyze medical records or other medical documentation to validate services, tests, supplies and drugs performed for accuracy related to billing for services rendered
- Identify and interpret medical, radiological, laboratory or other tests and procedures as well as pharmaceutical drugs
- Review and understand managed care contracts, hospital billing statements/bills and insurance denials
- Research commercial and governmental payor policies, clinical abstracts and studies, and other documentation related to claims payment to evaluate and appeal denied claims.
- Perform research regarding denials and effectively communicate information to associates, colleagues, managers and clients
- Contact insurance company to obtain missing information, explain and resolve underpayments and/or denials and arrange for payment or adjustment processing on behalf of client
- Prepare and submit correspondence such as letters, emails, online inquiries, appeals, adjustments, reports and payment posting
- Perform denial trending for clients, identify fail points within the revenue cycle and on the payer side, and provide best practice recommendations to clients and Revecore managers.
- Maintain regular contact with necessary parties regarding claims status including payors, clients, managers, and other Revecore personnel
- Maintain confidentiality of information in compliance with company policy and HIPAA
- Attend client, department and company meetings
- Lead client meetings and perform consulting services to client's as it relates to medical necessity of services performed and proper vetting of payers criteria
Is this role for you?
Revecore encourages our employees to be driven and highly motivated to be successful. We get excited by candidates who:
- College degree or diploma from school of nursing -- must be RN
- Clinical nursing experience working in hospital environment, preferably in ER, Critical Care or diagnostic services
- Minimum 5 years of related experience and/or training in utilization review or patient accounting
- Are highly proficient with Interqual and MCG guidelines and demonstrate appropriate application to claim appeal argument.
- Understand patient accounting documents -- UB04, EOB
- Have a working knowledge of Microsoft Office (Word, Excel, Outlook)
- Possess technical proficiency to work on multiple computer screens and software applications simultaneously
- Are able to read and interpret an extensive variety of documents such as medical records, patient care systems, instructions, policies and procedures in written (in English) and diagram form
- Can maintain strong performance in a fast-paced environment with productivity metrics
- Have strong analytical skills, attention to detail, and problem-solving skills to identify underpayments and discrepancies
- Have experience with healthcare billing software and databases (EPIC, Cerner, Meditech)
How we'll set you up for success:
- Extensive multi-week training with ongoing support from teammates following training.
- Access to a robust knowledgebase for continued reference in your role.
- Visibility to your individual performance metrics enables you to set goals.
- Computers and necessary work equipment are provided
- Involved management who leans in to support your productivity metrics.
Work at Home Requirements:
- A quiet, distraction-free environment to work from in your home.
- A secure internet connection is required.
- Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads.
- The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive.
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.
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 Stateswithin one of the states listed below:
Alabama, Arkansas, Delaware, Florida, Georgia, Iowa, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Maryland, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Virginia, Wisconsin, and West Virginia
About Revecore
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Franklin, TN, US
Year founded
1996