Medical Bill Reviewer
$42K - $52K/yr
Two or more years of experience in a medical bill review analyst position preferred. Medical coding knowledge needed. Prior experience in a payer environment working with claims systems and bill ...
Quick apply
$42K - $52K/yr
Two or more years of experience in a medical bill review analyst position preferred. Medical coding knowledge needed. Prior experience in a payer environment working with claims systems and bill ...
Quick apply
$42K - $52K/yr
Two or more years of experience in a medical bill review analyst position preferred. Medical coding knowledge needed. Prior experience in a payer environment working with claims systems and bill ...
$19 - $24.25/hr
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 ...
$19 - $24.25/hr
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 ...
Lansing, MI · On-site
$19 - $24.25/hr
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 ...
Lansing, MI · On-site
$19 - $24.25/hr
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 ...
Pittsburgh, PA · Hybrid
$22.17 - $35.66/hr
The Bill Review Supervisor is responsible for the supervision of all operations within their ... Effective quantitative and analytical skills * Strong leadership, management, and motivational ...
Pittsburgh, PA · Hybrid
$22.17 - $35.66/hr
The Bill Review Supervisor is responsible for the supervision of all operations within their ... Effective quantitative and analytical skills * Strong leadership, management, and motivational ...
Lansing, MI · On-site
$19 - $24.25/hr
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 ...
Lansing, MI · On-site
$19 - $24.25/hr
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 ...
Lansing, MI · On-site
$19 - $24.25/hr
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 ...
Lansing, MI · On-site
$19 - $24.25/hr
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 ...
Pittsburgh, PA · On-site
$22.17 - $35.66/hr
The Bill Review Supervisor is responsible for the supervision of all operations within their ... Effective quantitative and analytical skills * Strong leadership, management, and motivational ...
Pittsburgh, PA · On-site
$22.17 - $35.66/hr
The Bill Review Supervisor is responsible for the supervision of all operations within their ... Effective quantitative and analytical skills * Strong leadership, management, and motivational ...
Pittsburgh, PA · Hybrid
$22.17 - $35.66/hr
The Bill Review Supervisor is responsible for the supervision of all operations within their ... Effective quantitative and analytical skills * Strong leadership, management, and motivational ...
Quick apply
Pittsburgh, PA · Hybrid
$22.17 - $35.66/hr
The Bill Review Supervisor is responsible for the supervision of all operations within their ... Effective quantitative and analytical skills * Strong leadership, management, and motivational ...
Case Review Analyst - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the ...
Case Review Analyst - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the ...
Fort Lauderdale, FL · On-site
Case Review Analyst - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the ...
Quick apply
Fort Lauderdale, FL · On-site
Case Review Analyst - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the ...
Lauderdale Lakes, FL · On-site
Case Review Analyst - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the ...
Lauderdale Lakes, FL · On-site
Case Review Analyst - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the ...
The power of our technology takes medical bill-review services and clinical advisory services to a new level. Our unique marriage of technology, software platforms, data analytics and professional ...
The power of our technology takes medical bill-review services and clinical advisory services to a new level. Our unique marriage of technology, software platforms, data analytics and professional ...
The power of our technology takes medical bill-review services and clinical advisory services to a new level. Our unique marriage of technology, software platforms, data analytics and professional ...
The power of our technology takes medical bill-review services and clinical advisory services to a new level. Our unique marriage of technology, software platforms, data analytics and professional ...
Mason, OH · Hybrid
$97K - $128K/yr
Partner with analytics to identify outliers, emerging billing risks, and provider/claim targets ... Ensure audits and bill reviews are performed in alignment with regulatory requirements ...
Mason, OH · Hybrid
$97K - $128K/yr
Partner with analytics to identify outliers, emerging billing risks, and provider/claim targets ... Ensure audits and bill reviews are performed in alignment with regulatory requirements ...
The power of our technology takes medical bill-review services and clinical advisory services to a new level. Our unique marriage of technology, software platforms, data analytics and professional ...
The power of our technology takes medical bill-review services and clinical advisory services to a new level. Our unique marriage of technology, software platforms, data analytics and professional ...
Indianapolis, IN · Hybrid
$99K - $130K/yr
Partner with analytics to identify outliers, emerging billing risks, and provider/claim targets ... Ensure audits and bill reviews are performed in alignment with regulatory requirements ...
Indianapolis, IN · Hybrid
$99K - $130K/yr
Partner with analytics to identify outliers, emerging billing risks, and provider/claim targets ... Ensure audits and bill reviews are performed in alignment with regulatory requirements ...
Atlanta, GA · Hybrid
$100K - $131K/yr
Partner with analytics to identify outliers, emerging billing risks, and provider/claim targets ... Ensure audits and bill reviews are performed in alignment with regulatory requirements ...
Atlanta, GA · Hybrid
$100K - $131K/yr
Partner with analytics to identify outliers, emerging billing risks, and provider/claim targets ... Ensure audits and bill reviews are performed in alignment with regulatory requirements ...
Overland Park, KS · Hybrid
$102K - $134K/yr
Partner with analytics to identify outliers, emerging billing risks, and provider/claim targets ... Ensure audits and bill reviews are performed in alignment with regulatory requirements ...
Overland Park, KS · Hybrid
$102K - $134K/yr
Partner with analytics to identify outliers, emerging billing risks, and provider/claim targets ... Ensure audits and bill reviews are performed in alignment with regulatory requirements ...
Miami, FL · Hybrid
$99K - $130K/yr
Partner with analytics to identify outliers, emerging billing risks, and provider/claim targets ... Ensure audits and bill reviews are performed in alignment with regulatory requirements ...
Miami, FL · Hybrid
$99K - $130K/yr
Partner with analytics to identify outliers, emerging billing risks, and provider/claim targets ... Ensure audits and bill reviews are performed in alignment with regulatory requirements ...
Norfolk, VA · Hybrid
$100K - $132K/yr
Partner with analytics to identify outliers, emerging billing risks, and provider/claim targets ... Ensure audits and bill reviews are performed in alignment with regulatory requirements ...
Norfolk, VA · Hybrid
$100K - $132K/yr
Partner with analytics to identify outliers, emerging billing risks, and provider/claim targets ... Ensure audits and bill reviews are performed in alignment with regulatory requirements ...
$5.29 - $9.24
0% of jobs
$9.24 - $13.20
0% of jobs
$13.20 - $17.15
0% of jobs
$20.77 is the 25th percentile. Wages below this are outliers.
$17.15 - $21.11
27% of jobs
$21.11 - $25.07
7% of jobs
$25.07 - $29.02
13% of jobs
The median wage is $29.49 / hr.
$29.02 - $32.98
22% of jobs
$34.86 is the 75th percentile. Wages above this are outliers.
$32.98 - $36.93
12% of jobs
$36.93 - $40.89
11% of jobs
$40.89 - $44.84
3% of jobs
$44.84 - $48.80
5% of jobs
$5
$30
$48
| Aspect | Bill Review Analyst | Claims Adjuster |
|---|---|---|
| Credentials | Certification in claims or billing, sometimes licensed | Licensing required, insurance adjuster certification often needed |
| Work Environment | Reviewing medical bills, working in office or remote | Investigating claims, field or office work |
| Industry Usage | Insurance, healthcare billing | Insurance, property and casualty claims |
Both roles involve insurance processes but differ in focus: Bill Review Analysts primarily verify medical bills for accuracy and compliance, while Claims Adjusters evaluate overall insurance claims, including damages and liability. Understanding these distinctions helps job seekers target the right position based on their skills and interests.
$42K - $52K/yr
Full-time
Medical, Dental, Vision, Life, Retirement
Posted 25 days ago
The Reny Company's bill reviewer is a professional who combines experience in health insurance and medical billing with business insight and a passion for great service. Purpose of this role is to support Claims by analyzing medical, hospital, durable medical equipment, pharmacy, home health, etc. bills and records/reports to determine billing accuracy and appropriateness. This support is achieved by utilizing intelligent software and by understanding and applying knowledge of medical code billing and claims processing rules and regulations, billing practices, code sets, and state and Medicare adjustment reimbursement principles, knowledge of WC fee schedules. Support is also achieved by providing education and training regarding provider billing and documentation, identifying and bringing to management's attention any unusual or emerging procedures or billing anomalies. The bill reviewer will ensure the highest level of accuracy of data entry into our bill review system for claims processing.
PLEASE DO NOT APPLY IF YOU DON'T HAVE THE EDUCATION AND MEDICAL BILL REVIEW EXPERIENCE
Experience Requirements:
Two or more years of experience in a medical bill review analyst position preferred. Medical coding knowledge needed. Prior experience in a payer environment working with claims systems and bill review software is a plus.
Production Requirements:
• Based upon situation or state specific issues meet 98% accuracy, 10,000+ keystrokes per hour
Responsibilities:
• Process medical bills for workers' compensation, Texas non subscription, maritime, occupational accident, and liability claims
• Data entry into system applying usual and customary, worker's compensation and liability ground rules and fee schedules
• Continuous enhancement of working knowledge of medical forms such as CMS-1500, UB-92, UBO4/DWC-9/DWC-10
• Increase knowledge of coding principles CPT, ICD-9 / ICD-10, DRG, Revenue codes
• Responsible for processing a minimum quota per day with an error rate of 98% or better
• Increase knowledge on pre-authorization guidelines in order to pay/deny bills accordingly
• Ensure all bill processing is specific to client requests
• May be asked to perform other duties as management deems necessary
Education/Qualifications:
Associates degree or equivalent work experience Certified Professional Coder certification such as CCA. CCS, CCS-P, CPC, CPC-P from a generally recognized professional organization such as AHIMA or AAPC
• Experience with Medical Bill Review preferred
•High school diploma or equivalent, college preferred
• Two to three years of medical claims experience
• Trained in ICD10 preferred
• Workers’ Compensation experience preferred
• Fee Schedule knowledge and Medicare experience preferred
• Knowledgeable of Excel, Word, Outlook, etc.
• Ability to multi-task effectively while meeting or exceeding aggressive deadlines
• Ability to work independently and in a team environment
The Reny Company is an Equal Opportunity Employer. In order to provide equal employment and advancement opportunities to all individuals, employment decisions at The Reny Company will be based on merit, qualifications and abilities. Except where required or permitted by law, employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex, national origin, ancestry, citizenship, age, handicap or disability, marital status, medical condition or any other characteristic protected by applicable law.
THIS IS NOT A REMOTE POSITION
ONLY THOSE WITH RELEVANT EDUCATION AND MEDICAL BILL REVIEW EXPERIENCE NEED APPLY
Sourced by ZipRecruiter
Health care and social assistance
11 - 50 Employees
Plano, TX, US
1996