Medical Bill Rev Specialist I/II
$19 - $24.25/hr
Responsible for making bill review processing determinations according to rules, regulations, and/or third-party partners. Medical Bill Review Specialist II Primarily responsible for performing ...
$19 - $24.25/hr
Responsible for making bill review processing determinations according to rules, regulations, and/or third-party partners. Medical Bill Review Specialist II Primarily responsible for performing ...
$19 - $24.25/hr
Responsible for making bill review processing determinations according to rules, regulations, and/or third-party partners. Medical Bill Review Specialist II Primarily responsible for performing ...
$19 - $24.25/hr
Responsible for making bill review processing determinations according to rules, regulations, and/or third-party partners. Medical Bill Review Specialist II Primarily responsible for performing ...
$19 - $24.25/hr
Responsible for making bill review processing determinations according to rules, regulations, and/or third-party partners. Medical Bill Review Specialist II Primarily responsible for performing ...
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
Detroit, MI · On-site
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
Detroit, MI · On-site
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
Sterling Heights, MI · On-site
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
Sterling Heights, MI · On-site
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
Lansing, MI · On-site
$19 - $24.25/hr
Responsible for making bill review processing determinations according to rules, regulations, and/or third-party partners. Medical Bill Review Specialist II Primarily responsible for performing ...
Lansing, MI · On-site
$19 - $24.25/hr
Responsible for making bill review processing determinations according to rules, regulations, and/or third-party partners. Medical Bill Review Specialist II Primarily responsible for performing ...
Dearborn, MI · On-site
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
Dearborn, MI · On-site
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
Grand Rapids, MI · On-site
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
Grand Rapids, MI · On-site
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
Warren, MI · On-site
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
Warren, MI · On-site
$40K - $60K/yr
Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. * Transaction Execution: Generate and ...
Lansing, MI · On-site
$19 - $24.25/hr
Responsible for making bill review processing determinations according to rules, regulations, and/or third-party partners. Medical Bill Review Specialist II Primarily responsible for performing ...
Lansing, MI · On-site
$19 - $24.25/hr
Responsible for making bill review processing determinations according to rules, regulations, and/or third-party partners. Medical Bill Review Specialist II Primarily responsible for performing ...
Detroit, MI · On-site +1
This includes but is not limited to coordinating and executing the entire billing process for assigned billing attorneys and clients, editing pre-bills, processing and transmitting client invoices ...
Quick apply
Detroit, MI · On-site +1
This includes but is not limited to coordinating and executing the entire billing process for assigned billing attorneys and clients, editing pre-bills, processing and transmitting client invoices ...
Be Seen First
Dearborn, MI · On-site
$49K - $64K/yr
Oversee medical billing functions and ensure accurate claims processing * Supervise and mentor a billing team of 11-20 employees * Manage claims submissions and resolve discrepancies * Monitor ...
Quick apply
Be Seen First
Dearborn, MI · On-site
$49K - $64K/yr
Oversee medical billing functions and ensure accurate claims processing * Supervise and mentor a billing team of 11-20 employees * Manage claims submissions and resolve discrepancies * Monitor ...
Detroit, MI · On-site
$33.25 - $38.50/hr
Responsibilities: • Manage the full monthly billing process for assigned attorneys, from preparing and reviewing pre-bills to finalizing, posting, and distributing completed invoices. • Track ...
Quick apply
Detroit, MI · On-site
$33.25 - $38.50/hr
Responsibilities: • Manage the full monthly billing process for assigned attorneys, from preparing and reviewing pre-bills to finalizing, posting, and distributing completed invoices. • Track ...
Oversee billing processes, including claims submission, rejection and denials management, payment posting, and reconciliation. * Manage and assist with 'not billed' and 'held claims' reports.
Oversee billing processes, including claims submission, rejection and denials management, payment posting, and reconciliation. * Manage and assist with 'not billed' and 'held claims' reports.
$8.66 - $11.40
14% of jobs
$12.55 is the 25th percentile. Wages below this are outliers.
$11.40 - $14.14
27% of jobs
The median wage is $16.04 / hr.
$14.14 - $16.89
14% of jobs
$16.89 - $19.63
9% of jobs
$19.63 - $22.38
5% of jobs
$23.27 is the 75th percentile. Wages above this are outliers.
$22.38 - $25.12
21% of jobs
$25.12 - $27.87
6% of jobs
$27.87 - $30.61
1% of jobs
$30.61 - $33.35
1% of jobs
$33.35 - $36.10
1% of jobs
$36.10 - $38.84
1% of jobs
$8
$19
$38
| Aspect | Bill Processing | Invoice Clerk |
|---|---|---|
| Credentials | High school diploma, some roles may require basic accounting knowledge | High school diploma, familiarity with accounting software often preferred |
| Work Environment | Office setting, often in finance or accounting departments | Office environment, supporting accounts payable or receivable teams |
| Job Focus | Verifying, entering, and managing bills for payment | Preparing, reviewing, and processing invoices for billing and payment |
Bill Processing and Invoice Clerk roles both involve handling financial documents, but Bill Processing primarily focuses on managing bills received for payment, while Invoice Clerks handle outgoing invoices to clients. Both positions require attention to detail and basic accounting skills, often working within the same finance departments. Understanding these differences helps in choosing the right career path or job search focus.

$19 - $24.25/hr
Full-time
Posted 22 days ago
SUMMARY
Medical Bill Review Specialist I
Primarily responsible for analyzing bills for multi-state Workers Compensation medical claims to determine appropriateness of services billed. Responsible for analyzing simple billings by utilizing our Medical Bill Review (MBR) software to determine appropriateness of codes. Responsible for making bill review processing determinations according to rules, regulations, and/or third-party partners.
Medical Bill Review Specialist II
Primarily responsible for performing technical review of more complex medical bills, including modifiers, anesthesia, & psychiatric. Responsible for analyzing billings including outpatient hospital and multiple surgeries by utilizing our Medical Bill Review (MBR) software to determine appropriateness of codes and excessive charges. Also responsible for analyzing assigned medical bills to determine compliance with business rules, client specific requirements and multiple state rules, regulations and guidelines.
PRIMARY RESPONSIBILITIES include the following. Other duties may be assigned.
Medical Bill Review Specialist I:
Provides QA for basic bills for adjudication within Bill Review system.
Reviews, analyzes, adjusts and releases basic bills, including duplicates.
Refers to reference library of fee schedules, CPT, ICD-CM, HCPCS and other industry publications to support findings.
Assist all bill review teams as assigned with current work volumes or backlogs to ensure timely payments.
Identifies system and/or reports bill review issues and findings to MBR Leadership.
Provides a high level of customer service for all business partners and customers.
Reviews state reporting criteria as related to bill processing and outlined in state guidelines.
Manages confidential client information with discretion and good judgment in accordance with department and company guidelines.
Demonstrates a dependable work ethic.
Additional Responsibilities of Medical Bill Review Specialist II:
Responsible for analyzing complex billings for multi-state Workers Compensation medical claims to determine appropriateness of services billed.
Responsible for making bill review processing determination according to rules and regulations and or third-party partner.
Reviews hospital and surgery billings.
Reviews, analyzes, adjusts and releases queued bills to ensure timely payments.
Ensures provider compliance with the Workers Compensation Health Care Services Rules and Fee Schedule.
Process reconsiderations where no previous payment has been issued.
EDUCATION AND EXPERIENCE
Medical Bill Review Specialist I:
1. High School Diploma or G.E.D is required.
2. Minimum of two years of experience in a medical billing and/or coding position or similar relevant experience that would provide the necessary skills, knowledge and abilities to perform the required responsibilities.
Medical Bill Review Specialist II:
1. High School Diploma or G.E.D is required.
2. Degree/Certificate of completion in Medical Coding or Billing is required.
3. Minimum of one year as a Medical Bill Review Specialist I
OR
Minimum of two years demonstrated experience in workers compensation medical bill review analysis/pricing.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
OTHER SKILLS AND ABILITIES
Medical Bill Review Specialist I:
Basic knowledge of medical terminology, anatomy, and CPT/ICD-CM codes, & medical fee schedule.
Basic knowledge of computers and ability to enter alpha/numeric data accurately.
Math skills with the ability to use a ten-key calculator.
Effective oral, written and communication skills.
Ability to consistently meet or exceed daily production and quality standards for this position. Ability to use reference manuals and apply information to medical claims
Excellent organizational skills and ability to prioritize work.
Ability to work with minimal direction.
Additional Skills and Abilities of Medical Bill Review Specialist II:
Knowledge of various state workers' compensation medical payment methodologies.
Demonstrated attention to detail.
ADDITIONAL INFORMATION
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job description does not constitute a contract for employment.
Sourced by ZipRecruiter
Insurance services
501 - 1,000 Employees
Lansing, MI, US
2000