Medical Bill Specialist (Workers Compensation)

ESSENTIAL RESPONSIBILITIES

• Initiates the bill review process and accurately identifies data from claim information.
• Efficiently reviews medical bills and reports for accuracy and completeness.
• Identifies and enforces jurisdictional regulatory billing standards and Company standards.
• Examines bills for legibility and takes the appropriate action to ensure the accuracy of documentation.
• Issues the appropriate correspondence to billing entities in accordance with Company and regulatory standards.
• Proactively communicates to the Medical Bill Review Supervisor any problems or issues that may adversely impact a client or the Company.
• Ensures work is performed in accordance with Company standards, training, and supervisory direction.
• Provides administrative support and additional duties as directed.
• Fosters a positive and close working relationship with other Company staff, including Adjusting staff, other Medical Management staff, the Special Investigations Unit, Legal, Lien Unit, Customer Care and Client Services.

QUALIFICATIONS

• Education: High school diploma or equivalent certificate required.
• Experience: A minimum of six months of relevant experience and/or training, or equivalent combination of education and experience required.
• Technical Skills: Ability to read and understand basic documents, including medical records, medical bills, claim notes, and claim data fields. Ability to calculate figures and amounts, such as discounts, interest, proportions, percentages, sums, differences, products and volumes.
• Computer Skills: Ability to effectively use Microsoft Office/365 applications and become proficient in proprietary and vendor software programs.
• Attention to Detail
• Excellent Communication and Interpersonal Skills
• Team Player
• Results Oriented

WHAT WE OFFER

• Work-Life Balance
• Work From Home Program (up to 2 days per week upon eligibility)
• Free On-Site Fitness Facility
• Free On-Site Garage Parking

BENEFITS

• Paid Time Off
• Paid Holidays
• Retirements Savings Match
• Group Health Insurance (Medical, Dental, and Vision)
• Life and AD&D Insurance
• Long Term Disability Insurance
• Paid Community Volunteer Day
• Employee Assistance Program
• Tuition Reimbursement Program
• Employee Referral Program
• Diversity, Equity and Inclusion Program