California Licensed Nurse Reviewer

Machinify, Inc.; United States; Remote; USD 60,000 - 75,000; Full time

Job summary

A leading healthcare services company is seeking a Nurse Itemized Bill Reviewer to perform in-depth reviews of medical claims. This role requires an active RN, LPN, or LVN license and experience in itemized bill review and healthcare billing. The ideal candidate will have strong analytical skills and proficiency in Microsoft Office, along with the ability to work in a remote environment.

Qualifications

• 1+ years of experience in itemized bill review.
• 2+ years of experience in healthcare billing and coding.
• Proficient in applying payer policies and national coding guidelines.

Responsibilities

• Perform in-depth reviews of medical claims using UB-04 and itemized statements.
• Verify accuracy of itemized charges according to client policies and industry standards.
• Consult with Senior Analysts on claim review issues.

Skills

Detail-oriented

Analytical skills

Communication skills

Education

Active RN, LPN, or LVN license

Tools

Microsoft Office

Job description

A company is looking for a Nurse Itemized Bill Reviewer (IBR Analyst).

Key Responsibilities

• Perform in-depth reviews of medical claims using UB-04 and itemized statements
• Verify accuracy of itemized charges according to client policies and industry standards
• Consult with Senior Analysts on claim review issues and assist in content development

Required Qualifications

• Active RN, LPN, or LVN license in good standing
• 1+ years of experience in itemized bill review
• 2+ years of experience in healthcare billing and coding
• Experience applying payer policies and national coding guidelines (CPT, ICD-9/10, HCPCS)
• Proficient in Microsoft Office and experienced in a remote working environment