Job Description

ONSITE full time IN OFFICE; Must Live in Orange County,CA. ***NO REMOTE***


Medical Bill Data Entry - ($17 - $18/hr depending on experience)


MUST HAVE STRONG Proficiency with typing 10-key pad at 7000+ KPH or equivalent bill processing rate, and 35+ WPM


Under moderate supervision, this position is responsible for analyzing incoming medical bills for fee schedule or usual and customary application as well as PPO interface while meeting contractual client requirements. This position is also responsible for producing a final review for recommendation of payment to the client. Candidate will be required to maintain an acceptable productivity as well as speed and level of accuracy as determined by company standards and bill review manager. Pay rate is commensurate with experience.
Duties / Responsibilities

• Enter and review workers compensation or no fault medical bills into the Company system
• Analysis and review of 1 or more assigned states having fee schedules
• Select proper PPO network based on client instructions
• Add or update Provider and Claim information as appropriate
• Utilize Fee Schedules, Online Documents, Client instructions and other training material to proper review medical bills
• Research usual and customary/fee schedule applications and system interface as appropriate
• Provide quality review on work as specified by Lead/Supervisor
• Proactively identify system and/or bill review issues and provide feedback to supervisors or manager
• Other duties as assignedRequirements
• High School diploma or equivalent
• Proficiency as a Bill Review Analyst with two or more years previous experience in medical bill review (workers' compensation is a plus)
• Proficiency with 10-key pad at 9000+ kph or equivalent bill processing rate
• Ability to work in a high production environment while meeting productivity and quality standards
• Proficiency with Microsoft Word and Excel
• Strong knowledge of Medical Terminology and CPT / ICD-9 coding - Knowledge of multi-state fee schedules preferred.Preferences
• Experienced Medical Bill Reviewer Designation
• Strong written and verbal communication skills

Job Tags

Full time, Remote job,

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