Remote Bill Review Specialist - Workers' Comp

EK Health Services Inc.; Oregon; Hybrid; 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 analyze and process large, complex medical bills. This full-time, non-exempt role is remote, with a 7am–4pm local time schedule, Monday through Friday.

The position requires 2+ years of workers' compensation bill review experience, knowledge of CPT codes, DRG, and medical terminology, and strong communication and organizational skills. You will interact with providers and clients, participate in QA, and ensure data accuracy.

Qualifications

• 2+ years of complex Workers' Compensation Bill Review experience 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 verbal communication skills.
• Strong organizational skills.
• Proficient in MS Word and MS Excel.

Responsibilities

• 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.
• Review and verify the correct use of medical billing codes and report 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• Protect system integrity by monitoring and correcting duplications and inaccurate/outdated data.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 billing

CPT codes

DRG

Communication skills

Organization

MS Word

MS Excel

Email

Bill review experience

Customer service

CPC certification

Education

High School Diploma

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. This full-time, non-exempt role is remote, with a 7am–4pm local time schedule, Monday through Friday.

The position requires 2+ years of workers' compensation bill review experience, knowledge of CPT codes, DRG, and medical terminology, and strong communication and organizational skills. You will interact with providers and clients, participate in QA, and ensure data accuracy.