Bill Review Analyst I

This is a Fully Remote Job About Our Client:The organization operates in the risk management sector, providing solutions for workers' compensation, auto, health, and disability management industries. Established in 1987 and publicly traded since 1991, it focuses on integrating human capital and technology to deliver innovative services nationwide. The company maintains a culture centered on core values such as accountability, commitment, excellence, integrity, and teamwork, supporting a workforce of over 4,000 employees across the United States. About the Opportunity:The BILL REVIEW ANALYST I is responsible for auditing and processing medical bills across multiple states and lines of business. This role ensures compliance with state fee schedules, customer guidelines, and PPO discounts. It plays a critical part in maintaining accuracy and adherence to billing standards, directly impacting the organization's service quality and operational integrity. Responsibilities:Audit medical bills for appropriateness and compliance with applicable fee schedules and guidelinesReference materials as needed during auditingAchieve 98% accuracy and maintain high data entry speedPerform additional duties as assigned Requirements:Knowledge of medical terminology, workers' compensation billing guidelines, and fee schedulesFamiliarity with CPT, ICD, HCPCS codesPreferred knowledge of UB04, DWC-9, DWC-10, and CMS 1500 formsStrong interpersonal and customer service skillsAbility to work independently and collaborativelyProblem-solving skillsExcellent communication abilitiesOrganizational and time management skillsProficiency in Microsoft OfficeHigh school diploma or equivalent1-2 years of data entry experienceMedical bill review experience preferred Pay Range and Compensation Package:Pay range: $13.38 to $23.42 per hourCompensation varies based on location, experience, qualifications, and other factors Benefits & Perks:Medical insurance (HDHP) with pharmacyDental insuranceVision insuranceLong-term disability insuranceHealth savings and flexible spending accountsLife, accident, and critical illness insurancePre-paid legal insuranceParking and transit FSA accounts401(k) and ROTH 401(k)Paid time off Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note:TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.