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Medical Bill Reviewer Jobs (NOW HIRING)

Ethos Risk Services

Bill Review Specialist

CA · On-site

$22 - $28/hr

Ethos Risk Services is a leading provider of workers' compensation medical management ... Our dynamic Bill Review team is seeking a full-time Bill Review Specialist (REMOTE) to review ...

Ethos Risk Services

Bill Review Specialist

Lake Forest, CA · On-site +1

$20.25 - $28/hr

Ethos Risk Services is a leading provider of workers' compensation medical management ... Our dynamic Bill Review team is seeking a full-time Bill Review Specialist (REMOTE) to review ...

SFM Mutual Insurance

Medical Coder/Biller

Minneapolis, MN · On-site

$26.09 - $40.18/hr

As a member of the Medical Bill Review team, you'll ensure that the medical bills injured workers incur are paid accurately according to the workers' compensation guidelines. Verifying the billing ...

Corvel

Bill Review Analyst I

Dallas, TX · Remote

$13.38 - $23.42/hr

The Bill Review Analyst is responsible for reviewing, auditing and data-entry of medical bills for ... Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State ...

Health Advocates

Medical Biller I

Chatsworth, CA · On-site

$21.75 - $28/hr

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

Corvel

Bill Review Analyst I

Liverpool, NY · Remote

$16 - $23.42/hr

The Bill Review Analyst is responsible for reviewing, auditing and data-entry of medical bills for ... Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State ...

Corvel

Bill Review Analyst I

$13.38 - $23.42/hr

The Bill Review Analyst is responsible for reviewing, auditing and data-entry of medical bills for ... Knowledge of medical terminology, workers' compensation billing guidelines and fee schedules

Corvel

Bill Review Analyst I

Dallas, TX · On-site

$13.38 - $23.42/hr

The Bill Review Analyst is responsible for reviewing, auditing and data-entry of medical bills for ... Knowledge of medical terminology, workers' compensation billing guidelines and fee schedules

Corvel

Bill Review Analyst I

$13.38 - $23.42/hr

The Bill Review Analyst is responsible for reviewing, auditing and data-entry of medical bills for ... Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State ...

Corvel

Bill Review Analyst I

Liverpool, NY · On-site

$16 - $23.42/hr

The Bill Review Analyst is responsible for reviewing, auditing and data-entry of medical bills for ... Knowledge of medical terminology, workers' compensation billing guidelines and fee schedules

HEALTH ADVOCATES

Medical Biller I

Chatsworth, CA

$21.75 - $28/hr

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

HEALTH ADVOCATES

Medical Biller I

Chatsworth, CA · On-site

$21.75 - $28/hr

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

Machinify

Nurse Itemized Bill Reviewer (IBR Analyst)

$80K - $90K/yr

This role must identify billed items and services that do not meet the appropriate compliance ... Perform an in-depth review of medical claims utilizing the UB-04 and detailed itemized statement to ...

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Medical Bill Reviewer information

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$42

$100

How much do medical bill reviewer jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for medical bill reviewer in the United States is $42.06, according to ZipRecruiter salary data. Most workers in this role earn between $22.84 and $54.09 per hour, depending on experience, location, and employer.

What does a medical bill reviewer do?

A Medical Bill Reviewer examines medical claims to ensure accuracy, compliance with billing regulations, and proper coding. They verify that healthcare providers have billed correctly, identify discrepancies, and prevent overpayments or fraud. Their role helps insurance companies and healthcare organizations minimize financial errors and ensure fair reimbursements. They may also communicate with providers to clarify billing issues and request necessary documentation.

What are some common challenges medical bill reviewers face on the job?

Medical Bill Reviewers often encounter challenges such as deciphering complex or unclear medical records, keeping up with ever-changing insurance policies and coding updates, and managing high volumes of claims within tight deadlines. They may also need to resolve discrepancies by working closely with providers, payers, and other team members to ensure claims are accurate and compliant. Staying detail-oriented while balancing speed and accuracy is essential, as errors can delay payments or result in compliance issues. Building expertise in industry standards and maintaining clear communication proactively helps mitigate these challenges.

What are the key skills and qualifications needed to thrive as a medical bill reviewer, and why are they important?

To thrive as a Medical Bill Reviewer, you need a solid understanding of medical terminology, coding (such as ICD-10 and CPT), insurance procedures, and billing processes, typically supported by relevant certifications or experience in healthcare administration. Familiarity with billing and claims management software, as well as electronic health record (EHR) systems, is often required. Strong attention to detail, analytical thinking, and effective communication skills set top performers apart in this role. These skills ensure accurate evaluation of medical bills, proper claims processing, and efficient collaboration with medical providers and insurers.

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Medical Bill Reviewer jobs near you
Infographic showing various Medical Bill Reviewer job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $87,476 per year, or $42.1 per hour.

Bill Review Specialist

Ethos Risk Services

CA • On-site

$22 - $28/hr

Full-time

Re-posted 22 days ago

Job description

ABOUT US:
Ethos Risk Services is a leading provider of workers' compensation medical management, investigations, and claims solutions, dedicated to helping clients make better decisions through industry expertise, innovation, and exceptional service. As we continue to grow, we're expanding our cost containment capabilities through Definiti, a national leader in medical bill review, pharmacy benefit management, PPO network solutions, and reimbursement services. Together, we're building a comprehensive suite of solutions that helps clients reduce costs, improve efficiency, and achieve better claim outcomes.
JOB SUMMARY:
Our dynamic Bill Review team is seeking a full-time Bill Review Specialist (REMOTE) to review, audit, and process workers' compensation medical bills while ensuring compliance with state fee schedules, regulatory requirements, and client-specific guidelines. The ideal candidate is analytical, organized, and committed to delivering accurate, high-quality work in a fast-paced environment.
KEY RESPONSIBILITIES:
  • Analyze Medical Bills - Review and adjudicate hospital, ambulatory surgery center (ASC), durable medical equipment (DME), pharmacy, transportation, home health, and other specialty medical bills for reimbursement accuracy and compliance.
  • Research Provider Appeals - Investigate provider appeals, reconsiderations, and billing disputes by interpreting applicable fee schedules, reimbursement methodologies, regulations, and client guidelines.
  • Prepare Reimbursement Determinations - Draft clear, professional written correspondence explaining payment decisions and reimbursement methodologies to providers.
  • Communicate with Providers - Respond to provider inquiries via phone and written correspondence regarding reimbursement decisions, payment methodologies, and billing questions.
  • Support Cross-Functional Teams - Partner with the Account Management team and other internal stakeholders to resolve billing issues, answer client questions, and support operational objectives.

QUALIFICATIONS:
Education: High school diploma or equivalent (required). Associate's degree or higher is preferred.
Experience:
  • Minimum of 3 to 5 years of workers' compensation bill review experience, reviewing and adjudicating medical bills using state fee schedules, PPO contracts, reimbursement methodologies, client guidelines, and applicable workers' compensation regulations. (required).
  • Knowledge of CPT, ICD-10, HCPCS (required).
  • Experience using Conduent Strataware software (preferred).
  • Experience in billing accuracy, reimbursement eligibility, code relationships, bundled services, modifier usage, and reimbursement calculations while applying regulatory and client-specific guidelines (required).
  • Experience applying multi-state workers' compensation fee schedules, reimbursement methodologies, payment policies, and jurisdiction-specific regulations (preferred).
  • Experience researching complex reimbursement issues, fee schedules, and regulatory guidance to support accurate and defensible payment determinations (preferred).
  • Experience managing provider appeals, reconsiderations, and billing disputes, including communicating reimbursement methodologies and payment decisions (preferred).
  • Experience reviewing complex medical bills, including hospital, ASC, DME, transportation, home health, dental, and other specialty bill types involving advanced reimbursement analysis (preferred).

WORKING CONDITIONS:
This position offers flexible work arrangements, including remote, hybrid or full on-site options. If your preference is hybrid or remote, our office is located at 26445 Rancho Parkway Street, Lake Forest, CA 92630.
Flexible start times are available between 6:00 a.m. and 9:00 a.m., with eligibility for a 9/80 alternate work schedule (every other Monday or Friday off) following successful completion of training, satisfactory performance, business needs, and management approval.
Ethos Risk Services and Definiti Comp Solutions is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.

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