Medical Bill Specialist (Workers Compensation)

Berkshire Hathaway Homestate Companies; Omaha (NE); On-site; USD 38,000 - 60,000; Full time

Benefits offered by this job

Work-Life Balance

Work From Home Program (up to 2 days)

Free On-Site Fitness Facility

Free On-Site Garage Parking

Job summary

Berkshire Hathaway Homestate Companies is seeking a Medical Bill Specialist for its Medical Bill Review team in Omaha, NE. The role involves processing and reviewing medical bills and verifying documentation before review by a Medical Bill Analyst.

Responsibilities include initiating review, ensuring accuracy, and communicating with billing entities, while adhering to company standards and regulatory requirements.

Qualifications

• Education: High school diploma or equivalent.
• Experience: At least six months of relevant experience and/or training.
• Read and understand medical documents, including medical bills and claim data fields.
• Ability to calculate figures (discounts, percentages, sums).
• Attention to detail and strong communication skills.
• Team player and results oriented.

Responsibilities

• Initiates the bill review process and identifies data from claim information.
• Reviews medical bills and reports for accuracy and completeness.
• Enforces jurisdictional regulatory billing standards and company standards.
• Examines bills for legibility and ensures documentation accuracy.
• Issues correspondence to billing entities per standards.
• Communicates issues to Medical Bill Review Supervisor.
• Ensures work follows company standards and training.
• Provides administrative support as directed.
• Collaborates with Adjusting staff, Medical Management, and Client Services.

Skills

Attention to Detail

Excellent Communication

Team Player

Results Oriented

Microsoft Office/365

Medical Bill Review

Education

High school diploma

Tools

EMR/EHR systems

Vendor 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.

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

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.