Medical Bill Analyst Lead

Job Summary

A company is looking for a Bill Review Analyst Lead for Complex Claims.

Key Responsibilities

• Examine, review, and adjudicate medical bills across various provider types and lines of business
• Apply repricing methodologies and monitor for billing accuracy, including excessive charges and coding errors
• Provide coaching and technical guidance to team members and assist with training and quality initiatives

Required Qualifications

• High School Diploma or equivalent required; Bachelor's Degree or equivalent experience preferred
• Experience in worker's compensation and/or medical claims processing is required
• Intermediate proficiency in Microsoft Word, Excel, and Outlook
• Knowledge of healthcare billing and coding schemes (ICD-9, ICD-10, CPT, HCPCS) is preferred
• Proven ability to manage multiple projects and meet deadlines in a fast-paced environment