Medical Claims Review Specialist (Part-Time)

FIT Staffing, Inc.; Carson City (NV); On-site; USD 63,000 - 76,000; Part time

Job summary

FIT Staffing, Inc. in Carson City, NV is seeking a Medical Bill Review Analyst for a long-term, part-time role. You will review medical claims to ensure accurate pricing and reimbursement aligned with fee schedules and contractual agreements.

The ideal candidate has experience in medical billing or claims processing, strong analytical skills, and attention to detail, with a 20-hour weekly schedule and hourly pay reflective of qualifications.

Qualifications

• High school diploma or GED required.
• 1-3 years of experience in medical billing, health insurance claims, claims processing, or a related field.
• Working knowledge of medical billing terminology, CPT codes, and ICD-10 codes.
• Familiarity with medical reimbursement practices, provider agreements, and fee schedules.
• Proficiency with Microsoft Excel, databases, and claims processing systems.
• Strong analytical, organizational, and problem-solving skills.
• Excellent attention to detail and ability to work independently.

Responsibilities

• Review medical claims for accuracy, proper coding, and compliance with applicable billing guidelines.
• Apply fee schedules, reimbursement methodologies, and contractual pricing agreements to determine appropriate payments.
• Identify and research billing discrepancies, pricing errors, and claim adjustments.
• Review medical codes and supporting documentation to ensure accurate claims processing.
• Research complex claims and interpret applicable reimbursement policies.
• Identify potential overpayments and help ensure consistent application of pricing guidelines.
• Maintain accurate documentation of claim reviews, findings, and adjustments.

Skills

Medical billing

Claims processing

Analytical skills

Attention to detail

Education

High school diploma or GED

Tools

Excel

Claims processing systems

Databases

Job description

FIT Staffing, Inc. in Carson City, NV is seeking a Medical Bill Review Analyst for a long-term, part-time role. You will review medical claims to ensure accurate pricing and reimbursement aligned with fee schedules and contractual agreements.

The ideal candidate has experience in medical billing or claims processing, strong analytical skills, and attention to detail, with a 20-hour weekly schedule and hourly pay reflective of qualifications.