Bill Review Specialist I

We’re business engineers. Process pros. We’re not satisfied until we make your work work better.

The medical bill processor is responsible for the audit of individual medical bills to ensure compliance with jurisdictional guidelines, state fee structures, as well as client specific guidelines.

Process HCFA bills Process UB bills Demonstrated mastery of processing rules Demonstrated understanding of bill review guidelines and procedures Accountability for assigned customer(s) results, productivity and quality Ensure authorization action is applied appropriately Compare qualifications of service provider with service rendered Process 2111 Validation bills in a timely manner to meet client expectations

• High school diploma/GED Data entry skills (10-key preferred) Ability to learn ICD-9 and CPT coding
• Ability to use of Microsoft Windows-based software
• Ability to learn and apply basic medical terminology
• Basic computer skills
• 1 year of demonstrated knowledge, skills and abilities in Validation and/or Link & Authorization as appropriate for assignment (preferred)
• 1 or more years of experience in Medical Bill Review (preferred)
• 1 or more years of experience in Workers’ Compensation (preferred)