Job Summary

A staffing agency has an open position for a Remote Bill Review Nurse in Mayfield Heights.

Core Responsibilities of this position include:

• Reviewing Prepayment Complex Hospital Bills for compliance to CMS guidelines
• Auditing and reducing medical bills per State Workers’ Compensation Fee schedules and guidelines
• Making sound decisions with minimal information

Qualifications for this position include:

• Paid training will take place on site in Colorado for 3-4 weeks
• Active and unrestricted license
• 5 years of clinical practice experience
• Background in ICU, ER, Critical Care, or Med Surg
• Prior experience in Bill Review
• Ability to review payment information against Medicare and billing guidelines