Medical Bill Review Analyst I

About the role

The Bill Review Analyst is responsible for reviewing, auditing and data-entering medical bills for multiple states and lines of business. This is a remote role.

Responsibilities

• Auditing medical bills to ensure appropriateness and adherence to State Fee Schedules, customer guidelines, and PPO discounts.
• Consulting reference materials in the auditing process.
• Maintaining regular and consistent attendance.
• Complying with safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP).
• Performing additional duties as assigned.

Production Requirements

• Meet 98% accuracy and 10,000+ keystrokes per hour.

Skills

• Knowledge of medical terminology, workers’ compensation billing guidelines and fee schedules.
• Knowledge of CPT/ICD/HCPCS coding.
• Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types (preferred).
• Strong interpersonal skills and commitment to customer service.
• Able to work collaboratively and independently.
• Able to identify problems and find creative, effective solutions.
• Able to balance multiple priorities.
• Excellent verbal and written communication skills.
• Highly developed organizational abilities as well as time management skills.
• Proficient in Microsoft applications.

Requirements

• High school diploma or equivalent.
• 1-2 years of data entry experience.
• Experience with Medical Bill Review preferred.

Benefits

• Medical (HDHP) w/Pharmacy
• Dental
• Vision
• Long Term Disability
• Health Savings Account
• Flexible Spending Account Options
• Life Insurance
• Accident Insurance
• Critical Illness Insurance
• Pre-paid Legal Insurance
• Parking and Transit FSA accounts
• 401K
• ROTH 401K
• paid time off

Pay

Pay Range: $13.08 - $22.89 per hour

Schedule

This is a remote role.