Remote Bill Review Specialist - WC Claims

EK Health Services Inc; Tampa (FL); Remote; USD 25,000 - 30,000; 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 Specialist to analyze and process large, complex medical bills from a remote, full-time position. You will assess claims against CPT codes, fees, and state regulations, and provide payment recommendations with accuracy and integrity.

Applicants should have 2+ years in Workers' Compensation bill review, strong attention to detail, and excellent communication skills to interact with providers and clients. Prior CPC coursework is a plus.

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.
• Excellent written and oral communication & interpersonal skills.
• Strong organizational skills.
• High comfort level with computers and MS Word/MS Excel.
• Ability to meet deadlines in a high pressure, time sensitive environment.
• Ability to lift to 20 lbs.

Responsibilities

• Analyze complex medical bills and make payment recommendations based on claim history, medical notes, UCR, state laws and fee schedules.
• Review correct use of medical billing codes and report misuses to BR Manager.
• Participate in the QA process from initial receipt of bills through final payment.
• Protect system data integrity by correcting duplications and outdated data.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 and timely responses.
• Participate in ongoing training to enhance job skills and knowledge.
• Other duties as assigned.

Skills

Medical billing

Customer service

Attention to detail

Communication skills

Reading medical reports

Team coordination

Education

High School Diploma

Some college

College degree preferred

Tools

MS Word

MS Excel

Email

Job description

EK Health Services Inc. is seeking a Bill Review Specialist to analyze and process large, complex medical bills from a remote, full-time position. You will assess claims against CPT codes, fees, and state regulations, and provide payment recommendations with accuracy and integrity.

Applicants should have 2+ years in Workers' Compensation bill review, strong attention to detail, and excellent communication skills to interact with providers and clients. Prior CPC coursework is a plus.