Senior Medical Billing & Disputes Specialist

Zenith Insurance Company (United States); Los Angeles (CA); Sur place; USD 58 559 - 73 199; Plein temps

Avantages offerts par ce poste

Medical, Dental and Vision Insurance

Flexible Spending Accounts

401(k), Employee Share Purchase Plan

Education and Training Reimbursement

Employee Assistance Program (EAP)

Résumé du poste

A Workers’ Compensation Insurance provider in Los Angeles seeks a Medical Billing Auditor. The successful candidate will audit medical bills for accuracy, manage disputes with providers, and provide insights for process improvements. Strong communication skills and 3+ years of relevant experience are essential, along with a high school diploma. Benefits include comprehensive insurance, flexible spending accounts, and education reimbursement. This position offers competitive pay between $58,559 and $73,199, with opportunities for career growth.

Qualifications

• 3+ years experience reviewing progressively complex medical bills and records.
• Thorough understanding of the Workers’ Compensation billing process.
• Efficient in coding, negotiation, or another advanced specialty.

Responsabilités

• Audit medical bills for accuracy in coding.
• Manage caseload to resolve disputes with medical providers.
• Research billing issues and state regulations.
• Lead training initiatives on specialty topics.
• Identify and document trends in provider practices.
• Mentor and assist with training of junior analysts.

Connaissances

Advanced understanding of Workers’ Compensation claim billing

Strong verbal and written communication skills

Prioritization and time management skills

Flexibility and adaptability

Expert ability to communicate using industry language

Formation

High School Diploma or equivalent

Bachelor’s Degree or equivalent

Description du poste

A Workers’ Compensation Insurance provider in Los Angeles seeks a Medical Billing Auditor. The successful candidate will audit medical bills for accuracy, manage disputes with providers, and provide insights for process improvements. Strong communication skills and 3+ years of relevant experience are essential, along with a high school diploma. Benefits include comprehensive insurance, flexible spending accounts, and education reimbursement. This position offers competitive pay between $58,559 and $73,199, with opportunities for career growth.