The Bill Review Analyst is responsible for reviewing, auditing and data-entry of medical bills for multiple states and lines of business.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
- Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines, and PPO discounts
- May consult reference materials in the auditing process
- Based upon situation or state-specific cases, meet 98% accuracy, 10,000+ keystrokes per hour
- Additional duties as assigned
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KNOWLEDGE & SKILLS:
- Knowledge of medical terminology, workers’ compensation billing guidelines and fee schedules
- Knowledge of CPT/ICD/HCPS coding
- Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types preferred
- Strong interpersonal skills and commitment to customer service
- Ability to work independently and in a team environment
- Ability to identify problems and find effective solutions
- Excellent verbal and written communication skills
- Highly developed organizational abilities as well as time management skills
- Must be proficient in Microsoft Office applications
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EDUCATION & EXPERIENCE:
- High school diploma or equivalent
- 1-2 years of data entry experience
- Experience with Medical Bill Review preferred