Medical Bill Reviewer
$42K - $52K/yr
... reviewer is a professional who combines experience in health insurance and medical billing with ... to management's attention any unusual or emerging procedures or billing anomalies. The bill ...
Quick apply
$42K - $52K/yr
... reviewer is a professional who combines experience in health insurance and medical billing with ... to management's attention any unusual or emerging procedures or billing anomalies. The bill ...
Quick apply
$42K - $52K/yr
... reviewer is a professional who combines experience in health insurance and medical billing with ... to management's attention any unusual or emerging procedures or billing anomalies. The bill ...
Schertz, TX · On-site
$17 - $22.75/hr
Review medical bills for compensability and relatedness to injury * Reprice medical bills to ... Current knowledge of utilization review processes and managed care * Knowledge of state-based fee ...
Schertz, TX · On-site
$17 - $22.75/hr
Review medical bills for compensability and relatedness to injury * Reprice medical bills to ... Current knowledge of utilization review processes and managed care * Knowledge of state-based fee ...
Rocklin, CA · On-site
Job Type Full-time Description AvonRisk is the nation's leading specialty risk manager for self ... Codes medical bills into the company system with speed and accuracy, maintaining company production ...
Rocklin, CA · On-site
Job Type Full-time Description AvonRisk is the nation's leading specialty risk manager for self ... Codes medical bills into the company system with speed and accuracy, maintaining company production ...
Orange, CA · On-site
AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting ... Codes medical bills into the company system with speed and accuracy, maintaining company production ...
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Orange, CA · On-site
AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting ... Codes medical bills into the company system with speed and accuracy, maintaining company production ...
Job Type Full-time Description AvonRisk is the nation's leading specialty risk manager for self ... Codes medical bills into the company system with speed and accuracy, maintaining company production ...
Job Type Full-time Description AvonRisk is the nation's leading specialty risk manager for self ... Codes medical bills into the company system with speed and accuracy, maintaining company production ...
$19 - $24.25/hr
SUMMARY Medical Bill Review Specialist I Primarily responsible for analyzing bills for multi-state ... Manages confidential client information with discretion and good judgment in accordance with ...
$19 - $24.25/hr
SUMMARY Medical Bill Review Specialist I Primarily responsible for analyzing bills for multi-state ... Manages confidential client information with discretion and good judgment in accordance with ...
Queens, NY · On-site
$55K - $60K/yr
Performs advanced technical review of Workers' Compensation medical bills to ensure regulatory and ... Works closely with the Nurse Case Manager to review NY and out-of-state surgical claims; learns ...
Queens, NY · On-site
$55K - $60K/yr
Performs advanced technical review of Workers' Compensation medical bills to ensure regulatory and ... Works closely with the Nurse Case Manager to review NY and out-of-state surgical claims; learns ...
Omaha, NE · Hybrid
The Medical Bill Review Analyst will utilize medical coding skills to review inpatient and outpatient medical bills to establish payment reimbursements . Once fully trained onsite in the Omaha office ...
Omaha, NE · Hybrid
The Medical Bill Review Analyst will utilize medical coding skills to review inpatient and outpatient medical bills to establish payment reimbursements . Once fully trained onsite in the Omaha office ...
East Hartford, CT · On-site
$16.94 - $23.42/hr
Highly developed organizational abilities as well as time management skills * Must be proficient in ... Experience with Medical Bill Review preferred PAY RANGE: CorVel uses a market based approach to pay ...
East Hartford, CT · On-site
$16.94 - $23.42/hr
Highly developed organizational abilities as well as time management skills * Must be proficient in ... Experience with Medical Bill Review preferred PAY RANGE: CorVel uses a market based approach to pay ...
Lubbock, TX · Hybrid
$27.81 - $34.36/hr
Review and analyze medical bills, ensuring they are accurate, complete, and compliant with relevant regulations and payer policies. * Work with key stakeholders to detect and investigate ...
Lubbock, TX · Hybrid
$27.81 - $34.36/hr
Review and analyze medical bills, ensuring they are accurate, complete, and compliant with relevant regulations and payer policies. * Work with key stakeholders to detect and investigate ...
East Hartford, CT · Hybrid
$16.94 - $23.42/hr
Highly developed organizational abilities as well as time management skills * Must be proficient in ... Experience with Medical Bill Review preferred PAY RANGE: CorVel uses a market based approach to pay ...
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East Hartford, CT · Hybrid
$16.94 - $23.42/hr
Highly developed organizational abilities as well as time management skills * Must be proficient in ... Experience with Medical Bill Review preferred PAY RANGE: CorVel uses a market based approach to pay ...
Lubbock, TX · On-site
$27.81 - $34.36/hr
Review and analyze medical bills, ensuring they are accurate, complete, and compliant with relevant regulations and payer policies. * Work with key stakeholders to detect and investigate ...
Lubbock, TX · On-site
$27.81 - $34.36/hr
Review and analyze medical bills, ensuring they are accurate, complete, and compliant with relevant regulations and payer policies. * Work with key stakeholders to detect and investigate ...
Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and ...
Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and ...
Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and ...
Quick apply
Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and ...
Chicago, IL · On-site +1
Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and ...
Chicago, IL · On-site +1
Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and ...
Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W ... The power of our technology takes medical bill-review services and clinical advisory services to a ...
Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W ... The power of our technology takes medical bill-review services and clinical advisory services to a ...
Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed ... The power of our technology takes medical bill-review services and clinical advisory services to a ...
Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed ... The power of our technology takes medical bill-review services and clinical advisory services to a ...
Lake Mary, FL · On-site +1
$49K - $74K/yr
Successful candidates will be responsible for performing Medical Bill review and investigation of ... management, priority setting and ability to multi-task. * A minimum of 2 years of experience in ...
Lake Mary, FL · On-site +1
$49K - $74K/yr
Successful candidates will be responsible for performing Medical Bill review and investigation of ... management, priority setting and ability to multi-task. * A minimum of 2 years of experience in ...
$20 - $21/hr
... Insurance Medical Bill Processor PRIMARY PURPOSE : To enter provider demographic data into the ... Management retains the discretion to add or to change the duties of the position at any time. As ...
$20 - $21/hr
... Insurance Medical Bill Processor PRIMARY PURPOSE : To enter provider demographic data into the ... Management retains the discretion to add or to change the duties of the position at any time. As ...
... medical narratives and attachments. - Ensure compliance with prompt payment requirements. * Rules, Workflow & Pricing Management: - Configure and maintain bill review rules and workflows. - Partner ...
... medical narratives and attachments. - Ensure compliance with prompt payment requirements. * Rules, Workflow & Pricing Management: - Configure and maintain bill review rules and workflows. - Partner ...
$27.5K - $32.5K
1% of jobs
$32.5K - $37.4K
6% of jobs
$37.4K - $42.4K
14% of jobs
$44.3K is the 25th percentile. Wages below this are outliers.
$42.4K - $47.3K
10% of jobs
$47.3K - $52.3K
15% of jobs
The median wage is $53.7K / yr.
$52.3K - $57.2K
15% of jobs
$57.2K - $62.2K
14% of jobs
$62.4K is the 75th percentile. Wages above this are outliers.
$62.2K - $67.1K
11% of jobs
$67.1K - $72.1K
7% of jobs
$72.1K - $77K
4% of jobs
$77K - $82K
3% of jobs
$27.5K
$56.1K
$82K
| Aspect | Manager Medical Bill Reviewer | Medical Billing Specialist |
|---|---|---|
| Credentials | Typically requires certification in medical billing or coding, with managerial experience | Usually requires certification or training in medical billing or coding |
| Work Environment | Supervises billing teams, reviews complex claims, and ensures compliance | Performs billing, coding, and claims processing tasks |
| Employer & Industry Usage | Healthcare providers, insurance companies, billing companies | Hospitals, clinics, physician offices, billing services |
The Manager Medical Bill Reviewer oversees billing teams and reviews complex claims, focusing on compliance and accuracy. In contrast, the Medical Billing Specialist handles day-to-day billing and coding tasks. Both roles require knowledge of medical billing, but the manager position involves supervision and strategic oversight.

$42K - $52K/yr
Full-time
Medical, Dental, Vision, Life, Retirement
Posted 27 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