State Licensed Senior Bill Reviewer

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