Remote Bill Review Lead: Medical Billing & QA Coach

EK Health Services Inc.; Oregon; Hybrid; USD 44,000 - 46,000; Full time

Benefits offered by this job

Medical, Dental and Vision Insurance

401K

Paid Time Off

Paid Holidays

Monthly internet stipend

Equipment provided

Job summary

EK Health Services Inc. is seeking a Bill Review Team Lead to guide the daily operations of the medical bill review staff. You will develop, train, and coach reviewers, ensure accurate analysis, and make payment recommendations based on claim history, UCR, and applicable regulations.

This full-time, exempt role is remote Monday through Friday, 7am-4pm in any time zone, with PST timing during training. The position supports client workflows and requires strong leadership and communication skills

Qualifications

• High School Diploma required.
• 3+ years of experience in complex Workers' Compensation Bill Review with customer service exposure.
• Knowledge of medical terminology, CPT codes, and DRG.
• CPC coursework or certification a big plus.
• Experience supervising staff in a fast-paced environment.

Responsibilities

• Manage daily inventory.
• Monitor, manage, and assign work/tasks to all bill review staff.
• Provide consistent monthly/yearly performance feedback to all bill review staff.
• Assist Bill review staff with questions.
• Analyze complex medical bills and make payment recommendations based on claim history, medical notes, and regulations.
• Maintain knowledge of client workflows/protocols (indexing, processing rules).
• Work with management on resolution of client rejection files.
• Handle client inquiry email box.
• Participate in the QA process from receipt to final payment.
• Communicate with medical providers to obtain information and resolve issues.
• Respond to issues and drive quick problem resolution.

Skills

Medical terminology

CPT codes

DRG

Customer service

Staff supervision

Problem analysis

Communication

Education

High School Diploma

CPC coursework or certification

Tools

MS Word

MS Excel

Email systems

Job description

EK Health Services Inc. is seeking a Bill Review Team Lead to guide the daily operations of the medical bill review staff. You will develop, train, and coach reviewers, ensure accurate analysis, and make payment recommendations based on claim history, UCR, and applicable regulations.

This full-time, exempt role is remote Monday through Friday, 7am-4pm in any time zone, with PST timing during training. The position supports client workflows and requires strong leadership and communication skills