Medical Bill Rev Specialist I/ii

AF Group

Lansing, MI, United States
Not specified
Medical bill review (mbr) software proficiency
Cpt, icd-cm, hcpcs code knowledge
Workers compensation claim analysis
The Medical Bill Review Specialist I/II position at AF Group is focused on analyzing medical bills for Workers' Compensation claims, ensuring compliance with relevant regulations. Candidates must possess experience in medical billing or coding, with a preference for those who have a specialized education in the field

Job Summary

  • The role involves analyzing multi-state Workers Compensation medical claims to ensure the appropriateness of billed services and codes.
  • Employees must utilize Medical Bill Review software to process determinations according to specific rules, regulations, and third-party partner guidelines.
  • The position requires maintaining confidentiality of client information while meeting daily production and quality standards.

Matching Summary

Match Score: 75

The Medical Bill Review Specialist I/II position at AF Group is focused on analyzing medical bills for Workers' Compensation claims, ensuring compliance with relevant regulations. Candidates must possess experience in medical billing or coding, with a preference for those who have a specialized education in the field.

Skills & Requirements

Must-have

  • Medical Bill Review (MBR) software proficiency
  • CPT, ICD-CM, HCPCS code knowledge
  • Workers Compensation claim analysis
  • Multi-state regulatory compliance review
  • Fee schedule application and verification

Nice-to-have

  • Strong organizational and prioritization skills
  • Ability to work with minimal direction
  • Excellent oral and written communication
  • Experience with complex hospital billings
  • High level of customer service orientation

Key Requirements

  • High School Diploma or G.E.D required
  • Minimum two years medical billing/coding experience for Specialist I
  • Degree/Certificate in Medical Coding or Billing for Specialist II
  • One year as Specialist I or two years WC bill review experience for Specialist II
  • Basic math skills with ten-key calculator ability

Work Rights

Not specified

Tailored Resume

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