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Senior Bill Review Analyst Jobs (NOW HIRING)

Ethos Risk Services

Bill Review Specialist

Lake Forest, CA · Remote

$22 - $28/hr

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 ...

Corvel

Bill Review Supervisor I

Pittsburgh, PA · On-site

$22.17 - $35.66/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Effective quantitative and analytical skills * Strong leadership, management, and motivational ... For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level ...

Valenz

Bill Review Operations Coordinator

Phoenix, AZ · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

As a Bill Review Operations Coordinator, you will coordinate operational communications, client ... Demonstrated ability to analyze operational data and communicate findings effectively. * Strong ...

Corvel

Bill Review Supervisor I

Pittsburgh, PA · Hybrid

$22.17 - $35.66/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Effective quantitative and analytical skills * Strong leadership, management, and motivational ... For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level ...

Valenz Health

Bill Review Operations Coordinator

Phoenix, AZ · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

As a Bill Review Operations Coordinator, you will coordinate operational communications, client ... Demonstrated ability to analyze operational data and communicate findings effectively. * Strong ...

Valenz Health

VP, Bill Review Operations

Phoenix, AZ · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

As the VP, Bill Review Operations, you will lead the Bill Review Services organization, setting ... Lead, coach, and develop senior leaders, establishing clear expectations and accountability for ...

Valenz

VP, Bill Review Operations

Phoenix, AZ · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

As the VP, Bill Review Operations, you will lead the Bill Review Services organization, setting ... Lead, coach, and develop senior leaders, establishing clear expectations and accountability for ...

The AF Group

Medical Bill Rev Specialist I/II

Lansing, MI

$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 ...

Emergent Holdings

Medical Bill Rev Specialist I/II

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 ...

Emergent Holdings

Medical Bill Rev Specialist I/II

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 ...

Mitratech

Managed Bill Review - Senior Product Manager

$129K - $170K/yr

Define and own the roadmap for MBR capabilities, including core bill review workflows, reporting ... leverage AI writing and analysis tools (e.g., Claude, ChatGPT) to accelerate drafting ...

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Senior Bill Review Analyst information

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$102.5K

$130.5K

How much do senior bill review analyst jobs pay per year?

As of Aug 18, 2026, the average yearly pay for senior bill review analyst in the United States is $102,527.00, according to ZipRecruiter salary data. Most workers in this role earn between $88,000.00 and $116,500.00 per year, depending on experience, location, and employer.

What does a senior bill review analyst do?

A Senior Bill Review Analyst is responsible for reviewing, analyzing, and processing complex billing statements—often in industries like healthcare or insurance—to ensure accuracy, compliance, and adherence to company or regulatory guidelines. They identify discrepancies, resolve billing issues, and may communicate with clients, providers, or internal teams to clarify or dispute charges. Additionally, they may mentor junior analysts, provide training, and help implement process improvements to enhance billing accuracy and efficiency.

What are some common challenges faced by a senior bill review analyst, and how can they be addressed?

Senior Bill Review Analysts often encounter challenges such as managing large volumes of complex billing data, staying updated with changing regulations, and ensuring compliance with client guidelines. To address these, it's important to develop strong organizational skills, keep abreast of industry updates, and leverage technology to automate repetitive tasks. Collaborating closely with legal teams, providers, and clients can also help clarify discrepancies and ensure accurate, timely bill processing.

What are the key skills and qualifications needed to thrive as a senior bill review analyst, and why are they important?

To excel as a Senior Bill Review Analyst, you need a strong background in medical billing, coding, claims analysis, and compliance—typically supported by experience in healthcare or insurance and a familiarity with relevant regulations. Proficiency with bill review software (such as Mitchell, Medata, or Strataware), claims management systems, and sometimes certification like CPC (Certified Professional Coder) is often required. Attention to detail, analytical thinking, and effective communication are vital soft skills for resolving discrepancies and collaborating with providers or clients. These competencies ensure accurate claim processing, cost containment, and adherence to industry standards, which are crucial for organizational efficiency and regulatory compliance.

What is the difference between Senior Bill Review Analyst vs Medical Billing Specialist?

AspectSenior Bill Review AnalystMedical Billing Specialist
CredentialsTypically requires experience in claims review, knowledge of insurance policies, and sometimes certifications like CPC or CCSUsually requires medical billing certifications, such as CPC or CMA, with less emphasis on insurance claims review
Work EnvironmentWorks in insurance companies, third-party administrators, or healthcare organizations focusing on claims auditingWorks in healthcare provider offices, billing companies, or hospitals handling patient billing and coding
Employer & Industry UsageCommonly employed in insurance and claims processing industriesPrimarily used in healthcare provider settings and billing services

The Senior Bill Review Analyst and Medical Billing Specialist roles share some certifications and work environments but differ mainly in their focus. The Senior Bill Review Analyst concentrates on insurance claims auditing and review, while the Medical Billing Specialist handles patient billing and coding. Understanding these differences helps job seekers target the right roles based on their skills and career goals.

What cities are hiring for Senior Bill Review Analyst jobs?

Cities with the most Senior Bill Review Analyst job openings:

What are the most commonly searched types of Bill Review Analyst jobs?

The most popular types of Bill Review Analyst jobs are:

What states have the most Senior Bill Review Analyst jobs?

States with the most job openings for Senior Bill Review Analyst jobs include:

Senior Bill Review Analyst jobs near you

Bill Review Specialist

Ethos Risk Services

Lake Forest, CA • Remote

$22 - $28/hr

Full-time

Re-posted 16 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.
Job Posted by ApplicantPro