Remote Bill Review & Audit Specialist

Dane Street; United States; Remote; USD 70,000 - 95,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401k with company match

Remote equipment stipend

Job summary

Dane Street is seeking a Bill Review Specialist to connect clinical data with strategy, perform precise line-item audits, and ensure reimbursement integrity for complex medical claims. You will translate coding systems into plain language for attorneys and work within national repricing guidelines to safeguard accurate reimbursements.

Ideal candidates review invoices, spot billing irregularities, and communicate findings to attorneys and adjusters, while collaborating in a remote-friendly

Qualifications

• Experience reviewing invoices, billing statements, or financial documentation.
• Ability to identify incorrect, duplicate, or unsupported charges.
• Strong attention to detail and accuracy.
• Ability to identify improperly bundled, unbundled, or redundant charges.

Responsibilities

• Conduct regular quality control of reports.
• Software & Payer System Repricing Optimization.
• Apply knowledge of repricing payer guidelines to maximize accuracy and identify erroneous billing/overbilling.
• Ensure correct application of fee schedules, line-item audits, CCI edits, and clinical validation rules across commercial, auto/PIP, and workers' compensation lines.
• Translating complex coding systems (CPT, ICD-10, HCPCS, DRG) into plain language for attorneys.

Skills

Billing accuracy

Attention to detail

Data interpretation

Education

High School Diploma or equivalent

Tools

NCCI edits

CPT/ICD-10/HCPCS/DRG knowledge

Job description

Dane Street is seeking a Bill Review Specialist to connect clinical data with strategy, perform precise line-item audits, and ensure reimbursement integrity for complex medical claims. You will translate coding systems into plain language for attorneys and work within national repricing guidelines to safeguard accurate reimbursements.

Ideal candidates review invoices, spot billing irregularities, and communicate findings to attorneys and adjusters, while collaborating in a remote-friendly