The Medical Billing department is seeking a dynamic individual to fill a vacant Senior Medical Bill Examiner role.
Successful candidates will be responsible for performing Medical Bill review and investigation of medical invoices to determine reimbursement based on applicable workers compensation statues and/or regulations including:
•Analyzing of bill for proper assignment of detailed medical coding information.
•Interpreting workers compensation rules for repricing.
•Entering/correcting data of medical bill information.
•Accurate billing per the American Medical Association.
•Review of medical documentation to support billing.
•Ability to discuss coding to medical providers.
Qualifications:
•Certified Coding Designation is REQUIRED.
•Medical terminology/coding coursework or experience preferred.
•Requires an ability to break down explanations of complex processes and rules into manageable information.
•Requires a demonstrated level of competency relative to initiative, willingness to act, ability to deal with ambiguity, customer focus, composure, active listening, time management, priority setting and ability to multi-task.
•A minimum of 2 years of experience in medical bill processing or coding required.