Enlyte | Remote – Eastern/Central Time Zone
🧾 About the Role
Enlyte is hiring a skilled Complex Bill Reviewer to join our remote team. In this role, you’ll apply your clinical expertise to review and evaluate complex medical bills, ensuring coding accuracy and compliance for workers’ compensation and auto liability claims. This is more than claims processing—it’s clinical discernment, cost control, and making a real impact on patient outcomes.
✅ Position Highlights
• $60,000–$70,000 annual salary
• Full-Time | Remote (must work EST/CST hours)
• Medical, dental, vision + HSA/FSA
• 401(k) with employer match
• Tuition reimbursement
• Paid time off & holidays
📋 What You’ll Own
• Conduct in-depth medical bill reviews for coding accuracy, compliance, and service justification
• Audit complex medical claims (e.g., hospital bills, specialty care, implants, OR, ER, ortho)
• Use clinical judgment to recommend bill reductions and ensure accurate payment
• Investigate unsupported billing codes and recommend corrections
• Collaborate with stakeholders to resolve escalated cases and provide training as needed
• Support team with subject matter expertise in CPT, ICD-10, and HCPCS coding
🎯 Must-Have Traits
• Active RN, LPN, or LVN license (required)
• 3–5 years clinical experience in OR, ER, or specialty areas
• Proficiency in medical coding: CPT, ICD-10, HCPCS
• Strong understanding of billing compliance and claims review
• Experience with EMRs and review tools (Smart Advisor Plus a plus)
• Strong analytical, written, and verbal communication skills
• Self-driven with a high level of accuracy and accountability
• Proficient in Microsoft Office and adaptable to proprietary platforms
💻 Remote Requirements
• U.S. residency required
• Reliable internet and home office setup
• Must be available to work Eastern or Central time zone hours
💡 Why It’s a Win for Remote Job Seekers
• Use your clinical background in a new, high-impact way
• Stay in the healthcare space—without bedside burnout
• Competitive salary and benefits from the comfort of home
• Make real-time decisions that improve cost-efficiency and patient care
✍️ Call to Action
If you’re ready to bring your clinical knowledge into a strategic review role—while helping reduce fraud, waste, and errors—apply now to join the mission-driven team at Enlyte.