Texas Licensed Bill Review Nurse

Job Summary

A company is looking for a Bill Review Nurse Specialist, requiring an LVN/LPN/RN with experience in medical bill review.

Key Responsibilities

• Analyze complex medical bills and make payment recommendations based on various guidelines and regulations
• Research applicable guidelines, document recommendations, and perform coding analysis
• Engage with medical providers to negotiate services and resolve bill-specific issues

Required Qualifications

• US state licensed Nurse (RN, LPN, LVN)
• Experience in performing bill audit reviews
• 3+ years of experience in complex Workers' Compensation Bill Review
• Knowledge of medical terminology and coding
• CPC coursework or certification is a plus