RN Licensed Senior Bill Reviewer

A company is looking for a Senior Complex Bill Reviewer.

Key Responsibilities

Conduct medical reviews of provider and hospital bills for accuracy and compliance

Audit complex medical bills and various insurance claims for correctness

Serve as a subject matter expert and assist with training and complex questions

Required Qualifications

Active RN, LPN, or LVN license in good standing

3-5 years of clinical experience, especially in specialized areas

Proficiency in medical coding (CPT, HCPCS, ICD-10) and billing guidelines

Experience in medical claim review and related fields preferred

Familiarity with electronic medical records and bill review platforms