Bill Review Analyst I

This is a fully remote position, open to applicants in California.

📋 Description

• Review, audit, and input data from medical bills across various states and lines of business.

• Conduct audits on medical bills to verify compliance with State Fee Schedules, customer guidelines, and PPO discounts.

• Utilize reference materials throughout the auditing process.

• Achieve accuracy and keystroke targets tailored to specific situations or state requirements.

• Execute additional responsibilities as assigned.

⛳️ Requirements

• High school diploma or equivalent qualification.

• 1-2 years of experience in data entry.

• Preferred experience in Medical Bill Review.

• Familiarity with medical terminology, workers’ compensation billing guidelines, and fee schedules.

• Knowledge of CPT/ICD/HCPS coding.

• Preferred understanding of UBO4/DWC-9/DWC-10 and CMS 1500 form types.

• Capability to meet 98% accuracy and exceed 10,000 keystrokes per hour based on specific situations or state requirements.

• Strong interpersonal skills with a commitment to customer service.

• Ability to work autonomously as well as collaboratively within a team.

• Aptitude for identifying issues and developing effective solutions.

• Excellent verbal and written communication skills.

• Highly developed organizational and time management abilities.

• Proficiency in Microsoft Office applications.

🏝️ Benefits

• Medical (HDHP) with Pharmacy coverage.

• Dental insurance.

• Vision coverage.

• Long Term Disability benefits.

• Health Savings Account access.

• Options for Flexible Spending Accounts.

• Life Insurance.

• Accident Insurance.

• Critical Illness Insurance.

• Pre-paid Legal Insurance.

• Parking and Transit FSA accounts.

• 401K plan.

• ROTH 401K option.

• Paid time off.

• Opportunities for career advancement.

• Supportive company culture.