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Bill Reviewer Jobs (NOW HIRING)

Health Advocates

Medical Biller I

Chatsworth, CA · On-site

$21 - $27.25/hr

... Bill Reviewer, Payment Recovery Specialist, Reimbursement Specialist, Insurance Claims Analyst, Insurance Claims Examiner, Insurance Verification Specialist, Patient Registrar, denial management ...

HEALTH ADVOCATES

Medical Biller I

Chatsworth, CA · On-site

$21 - $27.25/hr

... Bill Reviewer, Payment Recovery Specialist, Reimbursement Specialist, Insurance Claims Analyst, Insurance Claims Examiner, Insurance Verification Specialist, Patient Registrar, denial management ...

HEALTH ADVOCATES

Medical Biller I

Chatsworth, CA

$21 - $27.25/hr

... Bill Reviewer, Payment Recovery Specialist, Reimbursement Specialist, Insurance Claims Analyst, Insurance Claims Examiner, Insurance Verification Specialist, Patient Registrar, denial management ...

Synergy Shared Services

Pre-Bill Specialist

Nashville, TN

$17.50 - $23.25/hr

About the Role The PreBill Review Specialist is responsible for conducting comprehensive audits of ... Perform detailed pre billing audits on all Home Health and Hospice charts to verify documentation ...

Synergy Shared Services

Pre-Bill Specialist

Nashville, TN · On-site

$17.50 - $23.25/hr

About the Role The Pre‑Bill Review Specialist is responsible for conducting comprehensive audits of patient charts prior to claim submission. This role ensures that all required documentation ...

Empower AI

Medical Reviewer III (Medicare/DME)

At least four (4) years claims knowledge either from billing, reviewing, or processing of Durable Medical Equipment. * At least three (3) years clinical experience as a Registered Nurse. * Minimum ...

Roessel Joy

Third Party Reviewer/Biller

Boston, MA · On-site

$19.50 - $27/hr

Job Title Role will be mostly reviewing, fixing/editing and resubmitting claims. Will be working ... Top Three Keys: AR Plus Software experience (massive +) Healthcare/medical billing background ...

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How much do bill reviewer jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for bill reviewer in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $36.54 per hour, depending on experience, location, and employer.

What is a Bill Reviewer job?

A Bill Reviewer is responsible for examining invoices, bills, or claims to ensure accuracy, compliance with policies, and proper documentation. They verify charges, identify discrepancies, and may communicate with vendors or clients to resolve issues. Bill Reviewers often work in industries such as healthcare, legal, or insurance, where precise billing is crucial. Their role helps prevent overpayments, fraud, and financial errors, ensuring that payments are processed correctly. Attention to detail and knowledge of billing procedures are key skills for this role.

What are the typical challenges faced by a Bill Reviewer on the job?

Bill Reviewers often encounter challenges such as interpreting complex billing codes, keeping up with frequent regulatory updates, and identifying discrepancies among high volumes of claims or invoices. They must balance accuracy with efficiency, as processing deadlines are common and errors can lead to financial loss or compliance issues. Teamwork and effective communication with billing departments, providers, and clients are also key aspects of the role. Successfully navigating these challenges helps ensure accurate payments, compliance, and positive relationships with stakeholders.

What are the key skills and qualifications needed to thrive in the Bill Reviewer position, and why are they important?

To thrive as a Bill Reviewer, you need a strong attention to detail, analytical skills, and a solid understanding of billing codes, insurance policies, and relevant regulations, typically accompanied by a degree or experience in finance, healthcare, or law. Familiarity with billing software, claims management systems, and sometimes certification in medical billing or coding (e.g., CPC or CCA) is highly beneficial. Strong communication, organizational, and problem-solving abilities are valuable soft skills that set top performers apart. These skills are crucial for accurately evaluating and processing bills, ensuring compliance, and reducing errors or disputes in billing practices.

More about Bill Reviewer jobs
What job categories do people searching Bill Reviewer jobs look for? The top searched job categories for Bill Reviewer jobs are:
Bill Reviewer jobs near you
Infographic showing various Bill Reviewer job openings in the United States as of June 2026, with employment types broken down into 91% Full Time, and 9% Contract. Highlights an 51% Physical, 2% Hybrid, and 47% Remote job distribution, with an average salary of $62,159 per year, or $29.9 per hour.
Workers Compensation - Medical Bill Review - Operations Analyst (Remote)

Workers Compensation - Medical Bill Review - Operations Analyst (Remote)

Berkley

Manassas, VA • On-site, Remote

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

Job description

Company Details
Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is good for people and good for Berkley's insurance operating units. BMMS was first started in 2014 by reimagining the relationship between medical need and technology as a way to deliver the best outcome for injured workers and Berkley's operating units. Our goal was clear: combine solid clinical practices, proven return-to-work strategies and robust software into one system for seamless management of workers' compensation cases.
To get it right, we started with a flexible technology platform that allowed for impressive customization without sacrificing the ability for expansion and continued innovation. We deploy integrated systems to give W.R. Berkley Companies recommendations and professional services for managing each individual case in an efficient and appropriate manner. 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 services ensures we provide Berkley's operating units with reliable results, and reduced time and expenses associated with case management.
Responsibilities
The position serves as a subject-matter expert for Medical Bill Review (MBR) operations, providing advanced production support, driving process improvements, and coordinating cross-functional issue resolution and project execution. As an Operations Analyst, you will support the processing of workers' compensation medical and pharmacy bills from bill intake through bill payment and is a primary resource for issue resolution related to these processes. You will work directly with Berkley Operating Units to investigate bill processing issues and are responsible for problem-solving, identifying and triaging issues to technical teams, directly interfacing with multiple vendors to facilitate issue resolution, issue documentation, tracking, and reporting. You may also work directly with medical providers and networks regarding billing issues. We'll also look to you to independently and as part of a team identify issue commonalities and root causes to assist in solution design, monitoring, and controlling.
The position serves as a subject-matter expert for Medical Bill Review (MBR) operations, providing advanced production support, driving process improvements, and coordinating cross-functional issue resolution and project execution. Core responsibilities include:
MBR Production Support & Issue Resolution
  • Serve as the primary escalation point for complex MBR issues that cannot be resolved by Operations Technician/Level 1 support, vendors, or related internal teams (Clinical Validation, Negotiations, OU adjusters, mailroom).
  • Diagnose operational and adjudication issues by applying deep MBR process knowledge and collaborating with vendors and internal partners to resolve root causes.
  • Provide backup Level 1 support, including bill-level troubleshooting, Jira ticket creation/maintenance, report distribution, and vendor communications.
  • Maintain timely, clear communication with Operating Units, providers, and stakeholders regarding issue status, outcomes, and required actions.

Operational Analysis, Monitoring & Continuous Improvement
  • Monitor business dashboards and vendor reports daily to identify and escalate adverse bill TAT trends, identify likely root cause owners, and track resolution progress.
  • Recommend workflow enhancements, rule updates, and process changes to improve MBR accuracy, efficiency, and throughput.
  • Document trends, issues, and resolutions to support auditability and continuous operational improvement.

Cross-Functional Collaboration
  • Work closely with BMMS IT, BAMTECH, BTS, Finance, Data Reporting, and MBR vendors to coordinate root cause investigations, technical fixes, and operational adjustments.
  • Support Operating Unit staff by analyzing medical bill issues, guiding next steps, and ensuring a consistent, professional experience.
  • Build and maintain strong relationships with internal teams, external vendors, clients, and medical providers.

Project Leadership
  • Serve as the lead business resource for regulatory audit responses, coordinating data gathering, vendor input, and documentation review prior to submission.
  • Lead reconsideration projects, including impact analysis, bill resubmission coordination, and monitoring outcomes.
  • Partner with Business Analysts on MBR-related initiatives such as API implementations, vendor transitions, mailroom integrations, and payment process enhancements.

Professional Standards & Administration
  • Manage assignments in alignment with standard operating procedures, meeting requirements, and departmental expectations.
  • Maintain issue tracking and ensure timely escalation of complex matters.
  • Demonstrate professionalism, tact, and discretion in all interactions, contributing positively to department morale and organizational reputation.

Qualifications
  • MBR business process SME including experience with MBR E2E process from a business/operations perspective; firm understanding of integrated services and workflows including FS/UCR, Nurse and code review, PPO, negotiations, adjustor bill adjudication; workers compensation regulatory environment experience/understanding;
  • Demonstrated application of successful critical thinking and complex problem solving skills;
  • Experience in a role requiring deep understanding of and experience working with MBR and integrated services technology - not at a developer level - but from a business analyst perspective;
  • Experience gathering business requirements and clearly documenting complex scenarios and use cases to communicate MBR issues accurately for resolution;
  • Communication experience with varied audiences including leadership and peers in business/operational & technology roles;
  • Client-facing acumen
  • Team-player
  • Experience with Atlassian/JIRA/SQL
  • 5 years in a multi-faceted workers compensation MBR role demonstrating increasing responsibility with required skills outlined above within that time
    • or 3 years in an MBR role + 2 years in position with similar responsibilities;

Additional Company Details
www.berkleymms.com
The Company is an equal employment opportunity employer
We do not accept any unsolicited resumes from external recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees
• Base Salary Range: 75k - 95k
• Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Additional Requirements
• Domestic U.S. travel required (up to 5% of time)
Sponsorship Details
Sponsorship not Offered for this Role

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