Licensed Bill Review Nurse Specialist

A company is looking for a Bill Review Nurse Specialist who will utilize clinical acumen and medical review expertise to review workers' compensation medical bills.

Key Responsibilities

Analyze complex medical bills and make payment recommendations based on various guidelines and regulations

Engage with medical providers to negotiate services and resolve bill-specific issues

Provide expert testimony in legal cases involving medical billing disputes

Required Qualifications

US state licensed Nurse (RN, LPN, LVN)

3+ years of experience in complex Workers' Compensation Bill Review

Knowledge of medical terminology and coding

CPC coursework or certification is a plus

Experience with computers and relevant software programs