Precision Billing Analyst - Workers' Comp (Hybrid Tampa)

Paradigm Corp; Tampa (FL); Hybrid; USD 42,000 - 64,000; Full time

Job summary

Paradigm Corp in Tampa, FL is seeking a Bill Review Specialist to support accurate processing of workers’ compensation medical bills in a hybrid office setting.

You will research billing inquiries, review documentation, and coordinate with providers, clients, and internal teams to ensure payment accuracy and regulatory compliance. Strong attention to detail and excellent communication are essential.

Qualifications

• High School Diploma required; continuing education in insurance, medical coding or accounting preferred.
• At least 2 years in customer service and 2 years in workers’ comp, healthcare, claims, or bill review.
• Familiarity with Worker’s Comp, healthcare billing, and coding schemes such as ICD-9/ICD-10, CPT, U&C.
• Proficient in Word, Excel, and Outlook with strong organizational skills.

Responsibilities

• Research and resolve billing inquiries, payment questions, discrepancies, and outstanding medical bills.
• Communicate with providers, clients, and internal teams by phone and email to obtain information and resolve billing issues.
• Review medical bills, documentation, fee schedule calculations, pricing, payments, and savings for accuracy.
• Enter and process medical bills and related information accurately within bill review systems.
• Support review and resolution of outstanding incurred but not reported (IBNR) medical bills.
• Process and research appeals and reconsiderations, including reviewing claim-related documentation.
• Identify inconsistencies or missing information and coordinate appropriate follow-up.
• Build effective working relationships with hospitals, physicians, PPOs, specialty providers, and ancillary service providers.
• Serve as a billing and payment resource for internal clinical teams.
• Assist with process documentation, reporting, troubleshooting, and continuous improvement initiatives.
• Maintain knowledge of applicable regulatory, contractual, and industry requirements.

Skills

Attention to detail

Analytical thinking

Excellent communication

Customer service

Education

High School Diploma

Continuing education in insurance/medical coding/accounting

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Paradigm Corp in Tampa, FL is seeking a Bill Review Specialist to support accurate processing of workers’ compensation medical bills in a hybrid office setting.

You will research billing inquiries, review documentation, and coordinate with providers, clients, and internal teams to ensure payment accuracy and regulatory compliance. Strong attention to detail and excellent communication are essential.