Sr Bill Review Analyst

Duties

• Auditing and approving workers compensation and/or no fault medical bills in the Medata system
• Analysis and review of different fee schedule states and clients
• Utilize Fee Schedules, Online Documents, Client instructions and other training material to proper review medical bills
• Research usual and customary/fee schedule applications and system interface as appropriate
• Provide quality review on work as specified by Lead/Supervisor
• Proactively identify system and/or bill review issues and provide feedback to supervisors or manager
• Review of medical records and strong understanding of medical terminology
• Review and understanding of prior billing history for each bill within our systems applications

Requirements/Skills/Qualifications

• High School diploma or equivalent
• Proficiency as a Bill Review Analyst with three or more years previous experience in medical bill review or coding (workers’ compensation is a plus)
• Proficiency with 10-key pad at 9000+ kph or equivalent bill processing rate
• Ability to work in a high production environment while meeting productivity and quality standards
• Proficiency with Microsoft Word and Excel
• Strong knowledge of Medical Terminology and CPT / ICD-9 / ICD-10 coding – Knowledge of multi-state fee schedules preferred