State Licensed Senior Bill ReviewerVirtualVocations • Sioux Falls, South Dakota, United States
State Licensed Senior Bill Reviewer
VirtualVocations • Sioux Falls, South Dakota, United States
2 days ago
Job type
- Full-time
Job description
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
Create a job alert for this search
Senior Bill Reviewer • Sioux Falls, South Dakota, United States
Related jobs A company is looking for a Clinical Reviewer to perform Utilization Management and review clinical information for service requests.
Key Responsibilities Evaluate referral appropriateness for serv...Show more A company is looking for a Temporary Insurance Billing Representative who must reside in AZ.Key Responsibilities Manage billing processes including claim submissions, corrections, and follow-ups ...Show more Licensed Document Review Attorneys with e-Discovery and Relativity experience.Key Responsibilities Participate in document review projects remotely Work a minimum of 40 hours per week, Monday to...Show more Key Responsibilities Conduct MS-DRG and APR-DRG coding reviews to verify accuracy and identify overpayments Perform clinical coding reviews ensuring accuracy and compliance with coding guideline...Show more A company is looking for a Billing Specialist.Key Responsibilities Manage and execute all billing functions within skilled nursing facilities, focusing on Illinois Medicaid billing Ensure accura...Show more A company is looking for a Senior Claims Specialist to adjust complex construction defect claims.Key Responsibilities Adjust complex or high exposure construction defect claims Build and maintai...Show more A company is looking for a Revenue Audit Coder, Revenue Integrity / Coding Administration, Days, Fully Remote.Key Responsibilities Accurately code and abstract clinic, emergency department, same da...Show more A company is looking for an RN Compliance & Charge Capture Auditor.Key Responsibilities Conducts daily audits of Inpatient, Observation, ED, and Outpatient Infusion accounts Tracks and analyzes ...Show more A company is looking for a DRG Reviewer to join their remote Payment Integrity team.Key Responsibilities Analyze and review inpatient claims for adherence to Official Coding and Reporting Guideli...Show more A company is looking for a Client Service Manager (Real Estate).Key Responsibilities Maintain accurate client information and provide day-to-day client support Manage files and ensure accuracy o...Show more A company is looking for a Senior Commercial Title Examiner in Colorado.Key Responsibilities Conduct complex searches and examinations of public land records for title insurability Train and ass...Show more A company is looking for a Divisional Inpatient Coding Manager.Key Responsibilities Oversee daily operations of the inpatient coding department and manage coding teams Ensure accurate and timely...Show more A company is looking for a Billing Follow Up Representative I.Key Responsibilities Review accounts and apply billing follow up knowledge for insurance payors to ensure proper reimbursement Condu...Show more A company is looking for a Billing Reimbursement Specialist II who will focus on medical claims reconciliation and revenue collection.
Key Responsibilities : Increase cash flow and reduce bad debt ...Show more A company is looking for a Behavioral Health Utilization Management Reviewer.Key Responsibilities Conduct medical necessity reviews for inpatient and outpatient services Collaborate with members...Show more 
Interim HealthCare is America's leading provider of home care and healthcare staffing.Sioux Falls the past 33+ years, Brookings for the past 8+ years, and Fargo for the past 3+ years.We ar...Show more A company is looking for a Senior Clinical Analyst to combine clinical data expertise with relationship management to ensure accurate claims processing and optimize carrier performance.Key Responsi...Show more A company is looking for a Liability Staff Legal Counsel II or III.Key Responsibilities Represent commercial insureds in high complexity General Liability and Commercial Auto personal injury case...Show more
State Licensed Clinical Reviewer
VirtualVocations • Sioux Falls, South Dakota, United States
Full-time
Last updated: 30+ days ago • Promoted
Arizona Licensed Insurance Billing Representative
VirtualVocations • Sioux Falls, South Dakota, United States
Full-time
Last updated: 30+ days ago • Promoted
U.S. Licensed Document Review Attorney
VirtualVocations • Sioux Falls, South Dakota, United States
Full-time
Last updated: 9 hours ago • Promoted • New!
Remote Clinical Claim Review RN
VirtualVocations • Sioux Falls, South Dakota, United States
Remote
Full-time
Last updated: 1 day ago • Promoted
Illinois Medicaid Billing Specialist
VirtualVocations • Sioux Falls, South Dakota, United States
Full-time
Last updated: 15 days ago • Promoted
State Licensed Senior Claims Specialist
VirtualVocations • Sioux Falls, South Dakota, United States
Full-time
Last updated: 1 day ago • Promoted
Kentucky Licensed Revenue Auditor
VirtualVocations • Sioux Falls, South Dakota, United States
Full-time
Last updated: 2 days ago • Promoted
Illinois Licensed RN Auditor
VirtualVocations • Sioux Falls, South Dakota, United States
Full-time
Last updated: 1 day ago • Promoted
Certified DRG Reviewer
VirtualVocations • Sioux Falls, South Dakota, United States
Full-time
Last updated: 9 hours ago • Promoted • New!
Kentucky Licensed Client Service Manager
VirtualVocations • Sioux Falls, South Dakota, United States
Full-time
Last updated: 1 day ago • Promoted
Colorado Licensed Senior Title Examiner
VirtualVocations • Sioux Falls, South Dakota, United States
Full-time
Last updated: 30+ days ago • Promoted
Florida Licensed Inpatient Coding Manager
VirtualVocations • Sioux Falls, South Dakota, United States
Full-time
Last updated: 12 days ago • Promoted
Billing Follow Up Representative
VirtualVocations • Sioux Falls, South Dakota, United States
Full-time
Last updated: 30+ days ago • Promoted
Billing Reimbursement Specialist
VirtualVocations • Sioux Falls, South Dakota, United States
Full-time
Last updated: 30+ days ago • Promoted
Licensed Behavioral Health Reviewer
VirtualVocations • Sioux Falls, South Dakota, United States
Full-time
Last updated: 23 days ago • Promoted
Certified Nursing Assistant (CNA)
Interim HealthCare Eastern Dakotas • Madison, SD, US
Full-time +2
Last updated: 30+ days ago • Promoted
State Licensed Clinical Analyst
VirtualVocations • Sioux Falls, South Dakota, United States
Full-time
Last updated: 11 hours ago • Promoted • New!
Arizona Licensed Liability Trial Attorney
VirtualVocations • Sioux Falls, South Dakota, United States
Full-time
Last updated: 2 days ago • Promoted