Bill Review Specialist

Job Summary

A company is looking for a Bill Review Specialist responsible for managing medical billing inquiries and ensuring accuracy in payment processing.

Key Responsibilities

• Respond to billing inquiries and payment questions from internal teams, providers, and clients
• Research and resolve issues related to billing discrepancies and outstanding bills
• Perform data entry of bills and assist with appeals and reconsiderations

Required Qualifications

• Education: High School Diploma; continuing education in insurance, medical terminology/coding, or accounting preferred
• Experience: 5 years of customer service experience, including 2 years in worker's comp, healthcare, claims, or bill review
• Proficiency in Microsoft Word, Excel, and Outlook
• Knowledge of workers' comp billing, ICD-9/ICD-10, CPT, HCPCS, RVS, U&C, and fee schedules preferred
• Strong organizational and analytical skills