Bill Reviewer III

Job Description

Job Description

Bill Reviewer IIJob Details

Job Type

Full-time

Orange, CA OR Rocklin, CA

Description

Summary :

Employee is a Lead Bill Reviewer who will assist the Bill Review Supervisor in a variety of functions related to the ultimate goals of the department.

This position may be considered to work from home under the following criteria :

• Candidate’s commute to the nearest office location is more than 50 miles
• Candidate must show exemplary productivity and performance
• Candidate must report to the closest office as needed for personnel meetings and training and / or as supervisor requests (at a minimum, once a month).
• Live in a location that can receive an approved high speed internet connection
• Have a “meets” or “exceeds” performance rating on most current performance review and currently meeting all performance expectations.
• Employee must not have an open Corrective Action Plan.

Under close supervision, meets daily production quotas in processing and auditing medical bills in accordance with the appropriate workers’ compensation fee schedule by performing the following duties.

Essential Duties and Responsibilities :

Requirements

Competency :

To perform the job successfully, an individual should demonstrate the following competencies :

Qualification Requirements :

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Excellent oral and written communication skills.

Education and / or Experience :

High school diploma or general education degree (GED), plus minimum of one year data entry / medical billing experience; additional two years bill review experience in a workers’ comp environment.

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