Bill Review Specialist

Job Summary

To support a growing practice, the full-time Bill Review Specialist will analyze complex medical claims, conduct line-item audits, and ensure reimbursement integrity while working remotely.

Key responsibilities

• Conduct regular quality control of reports and perform line-item audits to identify billing irregularities
• Apply knowledge of repricing payer guidelines to maximize accuracy and ensure correct application of fee schedules
• Translate complex coding systems into plain language for attorneys and adjusters during litigation and settlement negotiations

Required qualifications

• High School Diploma or equivalent
• Experience reviewing invoices, billing statements, or financial documentation
• Ability to identify incorrect, duplicate, or unsupported charges
• Strong attention to detail and accuracy in billing processes
• Familiarity with applicable billing guidelines and regulations