Workers’ Compensation Medical Bill Review Specialist

King's Insurance Staffing; Sacramento (CA); Remote; USD 34,000 - 48,000; Full time

Benefits offered by this job

Medical, Dental, Vision Benefits

Opportunity to transition to permanent

Flex schedule

Remote work available

Job summary

King’s Insurance Staffing is seeking an experienced Workers’ Compensation Medical Bill Review Specialist in California for a temporary position. The role focuses on reviewing and processing workers’ compensation medical bills to ensure charges align with state guidelines and reimbursement rules.

Ideal candidates have 2–4+ years of WC bill review experience, solid CPT/ICD coding knowledge, and familiarity with workers’ compensation fee schedules. Remote work is available with flexible scheduling.

Qualifications

• 2–4+ years of Workers’ Compensation medical bill review experience.
• Working knowledge of CPT and ICD-9/ICD-10 coding.
• Experience interpreting Workers’ Compensation fee schedules.
• Understanding of medical billing and reimbursement practices.

Responsibilities

• Review workers’ compensation medical bills for accuracy and reimbursement.
• Evaluate charges using state fee schedules and guidelines.
• Review procedure and diagnosis codes for accuracy.
• Identify discrepancies and flag items for further review.
• Process bills and related documentation within set turnaround times.
• Maintain accurate claim and billing information in internal systems.
• Communicate with internal teams and providers about discrepancies.
• Ensure compliance with WC requirements and internal procedures.

Skills

WC bill review

CPT/ICD coding

Billing guidelines

Attention to detail

Claims software

High-volume workload

Tools

Billing software

Job description

Our client is seeking an experienced Workers’ Compensation Medical Bill Review Specialist to join their California team on a temporary basis. This position will support the review and processing of workers’ compensation medical bills, ensuring charges are accurately evaluated and processed according to applicable guidelines. The ideal candidate will have prior workers’ compensation medical bill review experience and a strong understanding of medical coding, billing practices, and state-specific reimbursement requirements.

Responsibilities:

• Review workers’ compensation medical bills for accuracy and appropriate reimbursement
• Evaluate medical charges using applicable state fee schedules and billing guidelines
• Review procedure and diagnosis codes to ensure accurate processing
• Identify billing discrepancies, coding issues, and charges requiring additional review
• Process bills and related documentation within established turnaround times
• Maintain accurate claim and billing information within internal systems
• Communicate with internal teams and medical providers regarding billing questions or discrepancies
• Ensure medical bills are processed in accordance with workers’ compensation requirements and internal procedures

Qualifications:

• 2-4+ years experience with Workers’ Compensation medical bill review
• Working knowledge of CPT and ICD-9/ICD-10 coding
• Experience interpreting Workers’ Compensation fee schedules
• Understanding of medical billing and reimbursement practices
• Familiarity with Workers’ Compensation claims and regulatory guidelines
• Comfortable learning and navigating claims and bill review software
• Strong attention to detail and ability to identify billing discrepancies
• Ability to manage a high-volume workload and meet deadlines
• $25.00/hr to $35.00/hr
• Competitive Medical, Dental, and Vision Benefits while on assignment
• Opportunity to transition to permanent employee
• Flex schedule and ability to work remotely