Job Summary
A company is looking for a Medical Bill Review Analyst to support service delivery operations and ensure payment integrity.
Key Responsibilities:
- Review medical bills for appropriate charges and identify billing errors
- Analyze payment recommendations against fee schedules and client-specific rules
- Assist in developing new methodologies for identifying overpayments and underpayments
Required Qualifications:
- High School Diploma / GED (or higher)
- 5+ years of experience with processing Workers Compensation bills
- Intermediate proficiency with Microsoft Word, Excel, and Outlook
- Advanced knowledge in Workers Compensation rules/regulations
- Ability to prioritize and manage multiple projects effectively
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