Base: $18.00-$23.00; bonus/equity: not specified; ...
Fully remote
Review hospital and professional medical bills
Apply ppo contract discounts
Handle provider appeals
To review hospital and professional medical bills from provider including complex hospital, surgical, high level evaluation and management codes, and/or technical bills
Job Summary
To review hospital and professional medical bills from provider including complex hospital, surgical, high level evaluation and management codes, and/or technical bills.
Processes bills in accordance with multi state schedules, rules, regulations, and guidelines.
A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance.
Matching Summary
To review hospital and professional medical bills from provider including complex hospital, surgical, high level evaluation and management codes, and/or technical bills.
Salary
Base: $18.00-$23.00; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package offered
Skills & Requirements
Must-have
Review hospital and professional medical bills
Apply PPO contract discounts
Handle provider appeals
Knowledge of Fee Schedules
Knowledge of CPT/ICD9 codes
Nice-to-have
Assist with workflow management
Coach and mentor staff
Process improvement initiatives
Caring company culture
Work-life balance
Key Requirements
High School diploma or GED
Two (2) years workers' compensation/bill review experience
Provider appeals experience required
PPO re-pricing, surgery review preferred
Two (2) years complex medical, legal, consult review preferred