Medical Bill Reviewer I

About the role

Join our Medical Bill Reviewing team and ensure accurate processing of wage loss/medical claims data by applying laws and regulations; handle routine bills and escalate complex issues.

Responsibilities

• Review, evaluate, and process Personal Injury Protection (PIP) medical bills
• Utilize knowledge of medical coding requirements; including CPT/HCPCS/Revenue codes, ICD-9/ICD-10 coding, and CMS-1500/UB-04 forms to process and pay PIP medical bills
• Follow established state and federal medical bill review rules and regulations
• Communicate with medical providers regarding payment or denial of payment
• Provide superior customer service while connecting with medical providers, vendors, and internal customer inquiries relating to medical bill processing

Requirements

• Technical diploma or equivalent work experience
• Associate Degree in Health Informatics/Health Information/Medical Coding preferred
• 1-3 years of related work experience in a medical office, insurance environment, or medical coding beneficial
• Basic knowledge of ICD9/ICD10, CPT, HCPCS codes necessary for accurate processing
• PC knowledge including Excel as well as keyboarding, math aptitude, and organizational skills
• Proficient analytical and decision-making skills with the ability to work independently
• High level of communication, customer service, and telephone skills required
• Ability to work within deadlines, maintain confidentiality, and work with detail and a high level of accuracy is essential

Qualifications

• At Sentry, your total rewards go beyond competitive compensation.
• Sentry is happy to offer flexibility through a scheduled Hybrid work model.
• In addition to the laptop, you will receive prior to your start, Sentry will provide equipment for your home office.
• Meal Subsidy available for associates who report to an office.
• 401(K) plan with a dollar for dollar match on your first eight percent, plus immediate vesting to help strengthen your financial future.
• Continue your education and career development through Sentry University (SentryU) and utilize our Tuition Reimbursement program.
• A Generous Paid-Time Off plan for you to enjoy time out of the office as well as Volunteer-Time off.
• Group Medical, Dental, Vision, Life insurance, Parental leave, and our Health and Wellness benefits to encourage a healthy lifestyle.
• Well-being and Employee Assistance programs
• Sentry Foundation gift matching program to encourage charitable giving.

Benefits and Perks

• We take great pride in making Forbes’ list of America’s Best Midsize Employers.
• We are rated A+ by A.M. Best, the industry's leading rating authority.
• We are one of the largest and financially strongest mutual insurance companies in the United States.
• We are headquartered in Stevens Point, Wisconsin, with offices located throughout the United States.
• We enjoy a rewarding and challenging work environment with opportunities for ongoing professional development and growth.

About Sentry

We are committed to equal opportunity and diversity in the workplace. Sentry is an Equal Opportunity Employer. It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation.