State Licensed Senior Bill Reviewer

A company is looking for a Senior Complex Bill Reviewer 2. Key Responsibilities Conduct medical reviews of provider and hospital bills for coding and billing accuracy Audit complex medical bills and various insurance claims for compliance with policies Process claims in a timely manner while meeting production and quality goals Required Qualifications Active state license as a Registered Nurse (RN), Licensed Practical Nurse (LPN), or Licensed Vocational Nurse (LVN) 3-5 years of clinical experience, especially in specialized areas Proficiency in medical coding (CPT, HCPCS, ICD-10) and billing guidelines Previous experience in medical claim review and workers compensation preferred Experience with electronic medical records and bill review platforms preferred

Mar 21, 2025 - 18:27

A company is looking for a Senior Complex Bill Reviewer 2. Key Responsibilities Conduct medical reviews of provider and hospital bills for coding and billing accuracy Audit complex medical bills and various insurance claims for compliance with policies Process claims in a timely manner while meeting production and quality goals Required Qualifications Active state license as a Registered Nurse (RN), Licensed Practical Nurse (LPN), or Licensed Vocational Nurse (LVN) 3-5 years of clinical experience, especially in specialized areas Proficiency in medical coding (CPT, HCPCS, ICD-10) and billing guidelines Previous experience in medical claim review and workers compensation preferred Experience with electronic medical records and bill review platforms preferred