Bill Review Negotiation Specialist

Job Summary

A company is looking for a Bill Review Negotiation Specialist to ensure accuracy and cost savings within the Workers' Compensation bill review process.

Key Responsibilities

• Contact and negotiate with medical providers to secure additional savings through signed agreements
• Review, audit, and process Workers' Compensation medical bills using industry-standard methodologies
• Maintain accurate records of negotiations and provider interactions

Qualifications

• High school diploma or equivalent required; associate degree or higher preferred
• 3 to 5 years of experience in medical bill review, with at least 1 year in customer service required
• Knowledge of CPT, ICD-10, and HCPCS coding required
• Experience with Conduent Strataware software or comparable platforms preferred
• Certification in medical coding or medical terminology preferred but not required