(Remote – U.S., Eastern/Central Time)
🧾 About the Role
Enlyte is hiring a Complex Bill Reviewer 2 to perform detailed, retrospective reviews of complex medical bills. This role ensures billing accuracy and coding compliance in workers’ comp and liability claims. It’s a full-time remote position suited for licensed clinicians with a sharp eye for CPT/ICD codes and audit precision.
✅ Position Highlights
• Salary: $60,000 – $70,000/year (based on experience, skill, and location)
• Employment Type: Full-Time
• Location: Remote (U.S.-based, Eastern or Central Time preferred)
• Department: Customer Service & Support
• Requisition #: 18086
📋 What You’ll Own
• Review and audit complex medical bills (hospital, surgical, specialty, etc.)
• Ensure accurate coding (CPT, HCPCS, ICD-10) and billing levels
• Apply clinical insight to analyze billed services and determine proper payments
• Identify unsupported codes, discrepancies, and potential cost savings
• Handle claims in workers’ compensation, auto liability, and orthopedics
• Use Smart Advisor Plus or similar software to evaluate and process claims
• Meet productivity and accuracy benchmarks
• Support internal teams on escalated cases or training needs
🎯 Must-Have Traits
• Active RN, LPN, or LVN license
• 3–5 years clinical experience (ER, OR, implants, etc.)
• In-depth knowledge of CPT, HCPCS, and ICD-10 coding
• Experience with medical bill review, UR, or case management
• Familiarity with Smart Advisor Plus or EMR/billing software
• CPC certification preferred
• Analytical mindset with strong problem-solving skills
• Clear, professional communication and documentation abilities
💻 Remote Requirements
• HIPAA-compliant home office
• Reliable high-speed internet
• Ability to work independently and manage tasks efficiently
• Proficient in Microsoft Office and quick to learn new systems
💡 Why It’s a Win for Remote Job Seekers
• Work-from-home flexibility with clinical and coding focus
• Help reduce billing errors and streamline care costs
• Competitive salary and full benefits package
• Be part of a mission-driven team that helps people recover from injury
✍️ Call to Action
If you’re a licensed clinician with coding chops and an eye for billing accuracy, apply today. Enlyte is looking for detail-oriented professionals who want to make an impact behind the scenes—and help restore lives, one claim at a time.