Remote Bill Review Analyst - Workers' Comp

EK Health Services Inc.; Phoenix (AZ); Remote; USD 25,000 - 30,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401K

Paid Time Off

Paid Holidays

Monthly internet stipend

Equipment provided

Job summary

EK Health Services Inc. is seeking a Bill Review Specialist to remotely analyze complex medical bills and provide payment recommendations. This is a full-time, non-exempt role with standard business hours (Monday–Friday, 7am–4pm local).

Note: applicants residing in California, New York, or Hawaii are not being considered at this time. Responsibilities include validating billing codes, QA participation, data integrity, and provider/client communications.

Qualifications

• High School Diploma required, some college preferred.
• 2+ years of experience in complex Workers' Compensation Bill Review with customer service exposure.
• Knowledge of medical terminology, CPT codes, and DRG.
• Ability to read, analyze, and interpret technical procedures, medical reports, state laws and fee schedules.
• CPC coursework or certification is a big plus.
• Excellent written and oral communication and interpersonal skills.

Responsibilities

• Accurately and appropriately analyze complex medical bills and make payment recommendations based on claim history, medical notes, UCR, regulations, contracts, coding guidelines, client instructions, and company policies.
• Review and verify correct use of medical billing codes and report improper use to BR Manager.
• Participate in QA process from initial receipt of bills through final payment.
• Protect system integrity by monitoring and correcting duplications and outdated data.
• Communicate with medical providers to obtain needed information and resolve bill-specific issues.
• Communicate with clients, providing excellent customer service promptly and professionally.
• Participate in ongoing training to enhance skills and knowledge.
• Other duties as assigned.

Skills

Medical billing

CPT codes

DRG

Communication

MS Excel

MS Word

Education

High School Diploma

CPC coursework or certification

Tools

MS Word

MS Excel

Email

CRM systems

Job description

EK Health Services Inc. is seeking a Bill Review Specialist to remotely analyze complex medical bills and provide payment recommendations. This is a full-time, non-exempt role with standard business hours (Monday–Friday, 7am–4pm local).

Note: applicants residing in California, New York, or Hawaii are not being considered at this time. Responsibilities include validating billing codes, QA participation, data integrity, and provider/client communications.