California Licensed Medical Bill Reviewer

Job Summary

A company is looking for a Medical Itemized Bill Reviewer (IBRL-1 Analyst).

Key Responsibilities

• Perform in-depth reviews of medical claims to ensure the validity of line-item charges
• Verify the accuracy of itemized charges according to client policy and industry standards
• Recommend system enhancements to improve claim review efficiency

Required Qualifications

• Bachelor's degree in health administration, business, or nursing
• 1+ years of experience in itemized bill review
• 2+ years of experience in healthcare billing and coding
• Experience in the healthcare payment integrity industry
• Proficiency in Microsoft Office and experience in a remote working environment