A company is looking for a Senior Complex Bill Reviewer.
Key Responsibilities
Review and analyze medical bills, treatment records, and diagnostic reports related to auto accident injuries
Identify billing errors, coding discrepancies, and determine treatment causality related to the auto accident
Apply jurisdictional fee schedules and reimbursement guidelines across multiple states
Qualifications
Active RN, LPN, or LVN license in good standing
5+ years of experience in medical bill review within the auto insurance industry
Experience working across multiple jurisdictions and states
Demonstrated knowledge of state fee schedules and reimbursement guidelines
Experience with ICD-10, CPT, and HCPCS coding systems
Senior Bill Reviewer • Hayward, California, United States