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Eob Reviewer Jobs (NOW HIRING)

Health Pros Northwest

Billing Specialist

Skokomish, WA

$25/hr

This position supports PRC eligibility, referral coordination, claims and Explanation of Benefits (EOB) review, prior authorization processes, payment review, and medical billing functions to ensure ...

Health Pros Northwest

Billing Specialist

WA · On-site

$25/hr

This position supports PRC eligibility, referral coordination, claims and Explanation of Benefits (EOB) review, prior authorization processes, payment review, and medical billing functions to ensure ...

Health Pros North West

Billing Specialist

Skokomish, WA · On-site

$25/hr

This position supports PRC eligibility, referral coordination, claims and Explanation of Benefits (EOB) review, prior authorization processes, payment review, and medical billing functions to ensure ...

Prescient Edge

Senior Technical Editor (EOB)

Quantico, VA · On-site

$100K - $130K/yr

Job Title Senior Technical Editor (EOB) Location Quantico, VA 22134 US (Primary) Category ... Reviews intelligence products for proper grammar, punctuation, and syntax, as well as for logic ...

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Eob Reviewer information

What is an EOB reviewer?

An EOB (Explanation of Benefits) Reviewer is responsible for analyzing medical insurance claims to ensure accuracy, compliance, and proper reimbursement. They review insurance company statements, verify billed amounts, and identify discrepancies or denials that need resolution. EOB Reviewers often work in healthcare billing, insurance, or medical administrative roles to help providers and patients understand claim outcomes. Their role is essential in maintaining financial accuracy and preventing claim processing errors.

What are the key skills and qualifications needed to thrive as an EOB reviewer?

To thrive as an EOB Reviewer, you need a strong understanding of medical billing, insurance claims processing, and Explanation of Benefits (EOB) documents, typically backed by experience in healthcare administration or medical billing. Familiarity with healthcare management software, billing platforms like Epic or Cerner, and knowledge of HIPAA regulations are commonly required. Attention to detail, strong organizational skills, and effective communication set standout candidates apart in this role. These competencies ensure accurate claim reviews, timely issue resolution, and effective collaboration with billing teams and insurance providers.

What are some typical challenges an EOB reviewer may face on the job?

EOB Reviewers often encounter the challenge of interpreting complex medical billing codes and resolving discrepancies between submitted claims and insurance payments. Staying updated with frequent changes in insurance policies and regulations requires ongoing learning and adaptability. Additionally, balancing a high volume of documents while maintaining accuracy and attention to detail can be demanding, but effective time management and clear communication with providers and insurers help mitigate these challenges. This rewarding role is well-suited for professionals who enjoy problem-solving in a dynamic healthcare environment.

How to get a job as an Eob Reviewer?

To become an Eob Reviewer, candidates typically need a high school diploma or equivalent, with some roles preferring healthcare or insurance experience. Strong attention to detail, knowledge of medical billing and coding, and familiarity with electronic health record systems are important. Applying through healthcare companies, insurance providers, or staffing agencies and demonstrating relevant skills can help secure a position.
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Eob Reviewer jobs near you
Infographic showing various Eob Reviewer job openings in the United States as of August 2026, with employment types broken down into 60% Full Time, 36% Part Time, and 4% Contract. Highlights an 47% Physical, 3% Hybrid, and 50% Remote job distribution.

Revenue Cycle Medical Billing Claim Status Medicaid EOB Review

Air Evac Lifeteam

West Plains, MO • On-site, Remote

$17.50/hr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

More Information about this Job
Revenue Cycle Medical Billing - Claim Status Medicaid EOB Review
Location: Remote or On-Site, United States
Hourly Compensation: $17.50
(this position is bonus eligible)
Training Schedule: Mo - Fr 8am-5pm Central
Work Schedule: Mo - Fr 7am - 7pm Central, 8 hrs/day, 40 hrs/wk
JOB SUMMARY
Revenue Cyle Medical Billing - Claim Status Medicaid EOB Review position is responsible for timely follow up of payments and denials on claims filed to traditional Medicaid and Medicaid Managed Care plans along with accurate documentation of the actions taken.
ESSENTIAL FUNCTIONS/DUTIES
  • Complete follow-up of claims on a timely basis according to the productivity guidelines for account follow-up goals.
  • Meet daily and monthly departmental production goals set forth by the supervisor to ensure that the company is achieving its financial goals.
  • Review and analyze claim denials to determine if an appeal is necessary for reimbursement.
  • Identify, document, and communicate trends in recurring denials.
  • Recommend process improvements or system edits to eliminate future denials.
  • Review system generated work list and aged reports to resolve accounts which have not been paid.
  • Review payment denials and discrepancies identified through explanation of benefits, remittance advices, or payor correspondence and take appropriate action.
  • Document all account activity in an accurate and timely manner.

QUALIFICATIONS
Required Experience:
  • Must be fluent in English
  • Minimum of 1 year, full-time, medical billing experience
  • Minimum of 50 words per minute (typing)
  • Ability to work independently or as an active member of a team
  • Communicate clearly and concisely, both orally and in writing
  • Must possess empathic and professional written and verbal communication skills
  • Knowledge and experience of computers and related technology, at an intermediate level
  • Ability to use independent judgment and to manage and impart confidential information

Preferred Experience:
  • Minimum of 6 months of work in a call center environment
  • Minimum of 6 months of customer service experience
  • Ability to calculate numbers, correct entries, and post to records

Preferred Education:
  • High school diploma
  • GED
  • Or significant, relevant work experience

Why Choose Air Evac Lifeteam? As a leader in helicopter air ambulance services, Air Evac Lifeteam is one of Global Medical Response's (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world at www.AtaMomentsNotice.com.
GMR's Core Behaviors-keep care at the center, raise your hand, seek to understand, find a way together and be accountable-unite our teams and set us apart in emergency medical services.
EEO Statement
Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.
More Information about this Job
Check out our careers site benefits page to learn more about our benefit options.

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