State Licensed Bill Reviewer

A company is looking for a Senior Complex Bill Reviewer 2 to apply clinical expertise in a remote position. Key Responsibilities Conduct medical reviews of provider and hospital bills for accuracy and compliance Audit complex medical bills and various insurance claims, adjusting payments as necessary Serve as a subject matter expert, providing training and resolving escalated issues Required Qualifications Active RN, LPN, or LVN license in good standing At least 3 years of bill review experience, particularly in workers' compensation Experience with medical coding (CPT, HCPCS, ICD-10) and billing guidelines 3-5 years of clinical experience in specialized areas like Operating Room or Emergency Room Experience with electronic medical records and bill review platforms preferred

Mar 24, 2025 - 19:08

A company is looking for a Senior Complex Bill Reviewer 2 to apply clinical expertise in a remote position. Key Responsibilities Conduct medical reviews of provider and hospital bills for accuracy and compliance Audit complex medical bills and various insurance claims, adjusting payments as necessary Serve as a subject matter expert, providing training and resolving escalated issues Required Qualifications Active RN, LPN, or LVN license in good standing At least 3 years of bill review experience, particularly in workers' compensation Experience with medical coding (CPT, HCPCS, ICD-10) and billing guidelines 3-5 years of clinical experience in specialized areas like Operating Room or Emergency Room Experience with electronic medical records and bill review platforms preferred