Medical Bill Specialist (Workers Compensation)

Bhhc; Omaha (NE); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Work-Life Balance

Work From Home Program (up to 2 days/w

Free On-Site Fitness Facility

Free On-Site Parking

Paid Time Off

Paid Holidays

Retirement Savings Match

Group Health Insurance (Medical,Dental

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

Job summary

Berkshire Hathaway Homestate Companies’ Workers Compensation Division seeks a Medical Bill Specialist for the Medical Bill Review team in Omaha. You will process and review medical bills, ensuring completeness of bills and supporting documents before review by a Medical Bill Analyst.

Responsibilities include initiating reviews, verifying data, and enforcing regulatory/Company standards, with strong attention to detail and communication.

Qualifications

• Ability to read and understand basic documents, including medical records, bills, claim notes, and claim data fields.
• Ability to calculate figures and amounts, such as discounts, interest, proportions, percentages, etc.

Responsibilities

• Initiates the bill review process and identifies data from claim information.
• Reviews medical bills and reports for accuracy and completeness.
• Enforces billing standards and company protocols.
• Ensures documentation is legible and accurate; takes appropriate actions.
• Issues correspondence to billing entities per standards.
• Alerts supervisor to issues impacting clients or the company.
• Performs duties per company standards and training.
• Provides administrative support and other duties as directed.
• Fosters positive relationships with other company staff.

Skills

Document reading

Accuracy in calculations

Attention to Detail

Communication skills

Team collaboration

Education

High school diploma

Tools

Microsoft Office 365

Proprietary software

Job description

Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an immediate need for a Medical Bill Specialist in its Medical Bill Review team! This individual processes and reviews medical bills, ensuring the completeness of the bill and supporting documentation prior to review by a Medical Bill Analyst.

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.

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.

Other Skills

• Attention to Detail
• Excellent Communication and Interpersonal Skills
• Team PlayerResults Oriented

Benefits

• 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
• 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

About Us

With more than 50 years in business, BHHC has grown from a regional organization to a national insurance group, offering insurance products from coast to coast. Relationships are the cornerstone of our culture, and we believe in doing the right thing. That means we invest in our business in every way possible to deliver on our mission and demonstrate that people are what powers our success. Our commitment to financial strength and integrity means our customers can rest assured that we will be there when it counts.

At BHHC we embrace diversity and foster an environment where our people can be their authentic selves. Our differences make us stronger and better together, which fosters a harmonious workplace—something we truly value. We’ve created an approachable and collaborative atmosphere. Here you’ll find a welcoming workplace where everyone can feel valued, supported, and inspired to do great work. Together, we raise the bar by being curious, remaining customer-focused, and operating with integrity.