State Licensed Senior Bill ReviewerVirtualVocations • Humble, Texas, United States
State Licensed Senior Bill Reviewer
VirtualVocations • Humble, Texas, United States
1 day 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 • Humble, Texas, United States
Related jobs A company is looking for a Senior Clinical Appeals RN.Key Responsibilities Analyze and respond to DRG appeals, including complex conceptual analyses Review medical records and collaborate with a...Show more A company is looking for a Senior Claims Adjuster Workers Compensation in Oregon.Key Responsibilities Manage claims by analyzing exposure, planning actions, and resolving claims effectively Comm...Show more A company is looking for a Care Review Clinician (RN).Key Responsibilities Assess services for members to ensure optimum outcomes and compliance with regulations Analyze clinical service request...Show more A company is looking for a Compliance Coding Auditor.Key Responsibilities Perform audits and chart reviews for inpatient and outpatient coding and billing compliance Collaborate with management ...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 A company is looking for a Senior Claims Adjuster Workers Compensation in Florida.Key Responsibilities Execute claims management decisions to analyze and resolve claims exposure Interact with va...Show more A company is looking for a Senior Care Center Biller who is responsible for processing claims and collaborating with physician practices.
Key Responsibilities Process all designated claims accurat...Show more A company is looking for a Senior Abstractor, HEDIS / Quality Improvement (Remote).Key Responsibilities Conducts data collection and abstraction of medical records for HEDIS projects Coordinates a...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 Utilization Review Clinician - ABA.Key Responsibilities Evaluates member's care and health status related to Applied Behavioral Analysis (ABA) services Performs prior ...Show more A company is looking for a Revenue Cycle Specialist Follow-up 1 (Patient Account Representative 1).Key Responsibilities Process and document transactions on insurance accounts, ensuring correct s...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 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 an Auditor, Revenue Optimization (Remote).Key Responsibilities Audit medical records to identify missed charges and coding inconsistencies Perform root cause analyses an...Show more A company is looking for a Revenue Cycle Specialist - Remote.Key Responsibilities : Manage denial trends and resolve unpaid, denied, and rejected claims Complete collection activities and process...Show more 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 Client Service Manager (Real Estate).Key Responsibilities Provide day-to-day client support and maintain accurate client information Manage account files and ensure ac...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
State Licensed Senior Clinical Appeals RN
VirtualVocations • Pasadena, Texas, United States
Full-time
Last updated: 4 days ago • Promoted
Oregon Licensed Senior Claims Adjuster
VirtualVocations • Humble, Texas, United States
Full-time
Last updated: 30+ days ago • Promoted
Arizona Licensed Care Review Clinician
VirtualVocations • Pasadena, Texas, United States
Full-time
Last updated: 3 days ago • Promoted
California Licensed Compliance Auditor
VirtualVocations • Houston, Texas, United States
Full-time
Last updated: 4 days ago • Promoted
Arizona Licensed Liability Trial Attorney
VirtualVocations • Houston, Texas, United States
Full-time
Last updated: 1 day ago • Promoted
Florida Licensed Senior Claims Adjuster
VirtualVocations • Pasadena, Texas, United States
Full-time
Last updated: 1 day ago • Promoted
Senior Care Center Biller
VirtualVocations • Pasadena, Texas, United States
Full-time
Last updated: 26 days ago • Promoted
Arizona Licensed Senior Abstractor
VirtualVocations • Humble, Texas, United States
Full-time
Last updated: 3 days ago • Promoted
Remote Clinical Claim Review RN
VirtualVocations • Houston, Texas, United States
Remote
Full-time
Last updated: 15 hours ago • Promoted • New!
Licensed Utilization Review Clinician
VirtualVocations • Pasadena, Texas, United States
Full-time
Last updated: 30+ days ago • Promoted
Oregon Licensed Revenue Cycle Specialist
VirtualVocations • Houston, Texas, United States
Full-time
Last updated: 4 days ago • Promoted
State Licensed Senior Claims Specialist
VirtualVocations • Humble, Texas, United States
Full-time
Last updated: 8 hours ago • Promoted • New!
Illinois Licensed RN Auditor
VirtualVocations • Houston, Texas, United States
Full-time
Last updated: 15 hours ago • Promoted • New!
State Licensed Revenue Auditor
VirtualVocations • Houston, Texas, United States
Full-time
Last updated: 4 days ago • Promoted
Florida Revenue Cycle Specialist
VirtualVocations • Pasadena, Texas, United States
Full-time
Last updated: 4 days ago • Promoted
State Licensed Clinical Reviewer
VirtualVocations • Humble, Texas, United States
Full-time
Last updated: 8 hours ago • Promoted • New!
Kentucky Licensed Client Service Manager
VirtualVocations • Houston, Texas, United States
Full-time
Last updated: 8 hours ago • Promoted • New!
Arizona Licensed Insurance Billing Representative
VirtualVocations • Houston, Texas, United States
Full-time
Last updated: 30+ days ago • Promoted