Remote Bill Review Specialist – Workers' Comp

EK Health Services; United States; A distancia; USD 25.000 - 30.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical insurance

Dental insurance

Vision insurance

401K

Paid Time Off

Paid Holidays

Monthly internet stipend

Equipment provided

Descripción de la vacante

EK Health Services is seeking a remote Bill Review Specialist for a full-time role. You will analyze complex medical bills, apply CPT codes, review DRG guidelines, and issue payment recommendations based on contracts, state laws, and clinician notes.

You will also communicate with providers and clients to resolve issues, participate in QA, and help maintain data integrity. Ideal candidates have 2+ years in workers’ compensation bill review, strong analytical and communication skills, and

Formación

• High School Diploma required; some college or degree preferred.
• 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 and state laws.
• Excellent written and oral communication & interpersonal skills.

Responsabilidades

• Analyze complex medical bills and make payment recommendations based on claim history, medical notes, UCR, regulations, contracts, coding guidelines, and policies.
• Review and verify proper use of billing codes and report improper use to BR Manager.
• Participate in quality assurance from receipt to final payment.
• Protect system integrity by correcting duplications and outdated data.
• Communicate with medical providers and clients to resolve bill-specific issues.
• Participate in ongoing training to enhance skills.

Conocimientos

Medical billing

Customer service

Communication skills

Analytical thinking

Attention to detail

Educación

High School Diploma

Some college or college degree preferred

Herramientas

MS Word

MS Excel

Email

Descripción del empleo

EK Health Services is seeking a remote Bill Review Specialist for a full-time role. You will analyze complex medical bills, apply CPT codes, review DRG guidelines, and issue payment recommendations based on contracts, state laws, and clinician notes.

You will also communicate with providers and clients to resolve issues, participate in QA, and help maintain data integrity. Ideal candidates have 2+ years in workers’ compensation bill review, strong analytical and communication skills, and