Job Summary
The role involves processing and auditing medical invoices according to specific workers’ compensation fee structures, upholding production benchmarks. Additionally, the position requires effective communication with clients and healthcare providers to clarify details and address any billing inconsistencies.
Responsibilities
- Process medical bills while ensuring adherence to workers’ compensation fee schedules.
- Audit billing statements to confirm accuracy and compliance.
- Maintain and achieve established production standards.
- Engage with clients and providers to resolve billing discrepancies and clarify necessary information.
Qualifications
- High school diploma or GED is required.
- A minimum of one year of experience in data entry or medical billing.
- At least two years of experience in bill review specifically within a workers’ compensation setting.
- Must hold a Medical Bill Reviewer Designation.
- Strong understanding of CPT and ICD coding practices is essential.
