Remote Bill Review Analyst - Workers' Comp

EK Health Services Inc.; Tampa (FL); 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

Internet stipend

Equipment provided

Job summary

EK Health Services Inc. is seeking a Bill Review Specialist to join our remote team in the United States. This full-time, non-exempt role analyzes and processes complex medical bills, ensuring accurate application of CPT codes, DRGs, and state-specific regulations.

You will review bills, communicate with providers and clients, and participate in QA while adhering to HIPAA and company procedures. Remote, M-F, 7am-4pm local time; DSL internet preferred.

Qualifications

• 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.
• Hospital Bill Review experience a plus.
• Excellent Written and Oral Communication & Interpersonal Skills

Responsibilities

• Accurately and appropriately analyze complex medical bills and make payment recommendations based on claim history, medical notes, usual and customary rates (UCR), statutory regulations including state laws and fee schedules, available MPN/PPO contracts, coding guidelines, client instructions, and company policies and procedures.
• Reviews and verifies the correct use of medical billing codes and reports the detection of improper use of billing codes to BR Manager.
• Participate in the quality assurance (QA) process from initial receipt of bills through final payment.
• Protect system integrity: monitoring and correcting duplications and inaccurate/outdated data.
• Communicate with medical providers to obtain needed information and resolve bill-specific issues.
• Communicate directly with clients, offering excellent customer service by responding to and answering their questions quickly and professionally.
• Participate in ongoing training to enhance job skills and knowledge.
• Other duties as assigned.

Skills

Medical terminology

CPT codes

DRG

Customer service

Education

High School Diploma

Some college or college degree

CPC Certification

Tools

MS Word

MS Excel

Email

Job description

EK Health Services Inc. is seeking a Bill Review Specialist to join our remote team in the United States. This full-time, non-exempt role analyzes and processes complex medical bills, ensuring accurate application of CPT codes, DRGs, and state-specific regulations.

You will review bills, communicate with providers and clients, and participate in QA while adhering to HIPAA and company procedures. Remote, M-F, 7am-4pm local time; DSL internet preferred.