Medical Bill Review Specialist I

About the role

Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients’ success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we’re looking for employees who want to make a difference in others’ lives, all while enhancing their own. Federated’s culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our core principles and values. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values.

Responsibilities

• Provide a quality and timely review of medical bills for Property & Casualty Claims.
• Utilize solid judgement, analytical, and problem‑solving skills while reviewing and processing medical bills.
• Service incoming calls from medical providers and third‑party vendors, delivering courteous and professional customer service.
• Process medical bills with prescribed authority to ensure prompt and accurate payment.
• Review the appropriateness of billed services to support positive company results.
• Acquire and maintain knowledge of statutory regulations, systems, and processes.
• Audit bill review system edits and business rules to support accurate claims’ payments.
• Provide technical guidance to Claims Support Associate positions as needed.
• Establish and maintain effective working relationships with Federated personnel to optimize results.

Requirements

• Two‑year degree preferred.
• Minimum of 1 year work experience utilizing medical billing or coding knowledge, or general business experience demonstrating strong customer service skills and attention to detail.
• Preferred knowledge of insurance and medical terminology.
• Excellent Microsoft Office skills including Word, Excel, and Outlook.
• Excellent customer service telephone skills.

Pay

Range is $25.20 - $34.20 per hour. Starting salary is $25.20 per hour.

Benefits

• Wide variety of ways to support you professionally and personally.
• Opportunities for internal mobility and career development paths, inspiring excellence in performance.
• Exceptional benefits to nurture your personal life, including competitive compensation, enticing bonus programs, cost‑effective health insurance, and robust pension and 401(k) offerings.
• Paid volunteer time and opportunities for gift matching to encourage community engagement.