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Worker Compensation Bill Review Jobs (NOW HIRING)

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 ...

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 ...

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

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

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 ... 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

Liverpool, NY · Remote

$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

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

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Worker Compensation Bill Review information

See salary details

$44.5K

$96.2K

$162.5K

How much do worker compensation bill review jobs pay per year?

As of Aug 24, 2026, the average yearly pay for worker compensation bill review in the United States is $96,194.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,000.00 and $120,500.00 per year, depending on experience, location, and employer.

What is a worker compensation bill review?

A Worker Compensation Bill Review is the process of evaluating and analyzing medical bills submitted for workers' compensation claims to ensure accuracy and compliance with state guidelines and fee schedules. The goal is to verify that the billed services are related to the work injury, are medically necessary, and are billed at the correct rates. This process helps employers and insurance companies control costs and prevent overpayments or fraudulent claims. Bill reviewers often interact with healthcare providers, claims adjusters, and use specialized software to review and adjust bills as needed.

What are the key skills and qualifications needed to thrive as a worker compensation bill review specialist?

To thrive as a Worker Compensation Bill Review Specialist, you need a strong understanding of medical billing, workers' compensation regulations, and coding systems such as ICD-10 and CPT, often supported by relevant healthcare or insurance experience. Familiarity with bill review software platforms (like Mitchell, Medata, or Conduent), knowledge of state fee schedules, and sometimes Certified Professional Coder (CPC) certification are typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for identifying discrepancies and collaborating with providers. These competencies ensure accurate bill processing, cost containment, and compliance with legal and regulatory standards.

What are some typical challenges faced when reviewing workers' compensation bills, and how can they be managed?

A common challenge in workers' compensation bill review is accurately interpreting complex medical billing codes and ensuring compliance with state-specific fee schedules. Reviewing bills often requires attention to detail and the ability to spot discrepancies or upcoding, which can affect claim costs. Collaborating with claims adjusters and medical professionals is essential for clarifying ambiguities and ensuring appropriate payment. Staying updated on regulatory changes and using specialized bill review software also helps manage workflow efficiently and reduces errors.

What is the difference between Worker Compensation Bill Review vs Worker Compensation Claims Adjuster?

AspectWorker Compensation Bill ReviewWorker Compensation Claims Adjuster
Primary RoleReviewing medical bills and invoices for accuracy and complianceManaging entire claims process, including investigation and settlement
CredentialsOften requires insurance or medical billing knowledge, certifications varyState licensing, insurance adjuster certification
Work EnvironmentOffice-based, often within insurance companies or third-party vendorsField and office work, interacting with claimants, providers, and employers
Industry UsageCommon in insurance and healthcare billing sectorsCore role in workers' compensation insurance industry

Worker Compensation Bill Review focuses on analyzing medical bills for accuracy, while Worker Compensation Claims Adjuster manages the entire claims process. Both roles require industry-specific knowledge, but their responsibilities differ significantly within the workers' compensation field.

Infographic showing various Worker Compensation Bill Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, and 4% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $96,194 per year, or $46.2 per hour.

National Sales Executive - Workers' Compensation

Prime Health Services

Franklin, TN • On-site

Full-time

Medical, Dental, Vision, Life, PTO

Re-posted 9 days ago

Job description

Job Type
Full-time
Description
National Sales Executive - Workers' Compensation
Location: Remote with up to 60% travel (U.S.)
Department: Business Development
Join Our Team as a National Sales Executive - Workers' Compensation!
Are you an experienced sales professional with deep knowledge of the Workers' Compensation market? Do you excel at building relationships, navigating complex sales cycles, and presenting technology-enabled cost containment solutions? If so, Prime Health Services (PHS) wants YOU on our team!
As a National Sales Executive, you'll drive new business growth by promoting Prime's Workers' Compensation bill review platform, PPO network solutions, and advanced Renovo technology. You'll serve as the key point of contact for carriers, TPAs, and other industry stakeholders-representing the full suite of PHS cost containment capabilities.
What You'll Do
  • Build strong relationships with prospects and maintain a pipeline of qualified new business opportunities.
  • Conduct frequent prospect outreach and onsite visits; follow up on proposals and sales discussions.
  • Travel up to 60% to meet with clients, attend conferences, trade shows, and industry events.
  • Participate in RFP responses, finalist presentations, and proposal development for carrier and TPA prospects.
  • Provide weekly pipeline updates to the VP of Business Development.
  • Negotiate terms and close agreements with prospective clients.
  • Prepare monthly, quarterly, and annual sales forecasts.
  • Coordinate and schedule site visits with appropriate planning and efficiency.
  • Position and sell Prime's Workers' Compensation bill review platform, including:
    • Medical bill repricing
    • State fee schedule compliance
    • PPO network integration
    • Configurable workflow tools
  • Demonstrate Prime's technology-enabled solutions and communicate value tied to performance, efficiency, compliance, and implementation.
  • Collaborate with internal teams to support pricing, implementation planning, and client onboarding.

Products & Solutions You'll Represent
Prime's Renovo platform supports Workers' Compensation, Auto Liability, and Group Health through advanced solutions including:
  • Bill review and pricing tools
  • PPO and specialty network integration
  • Configurable workflows
  • Reporting capabilities
  • API connectivity

What We're Looking For
Required Qualifications
  • 10-15 years of experience in the Workers' Compensation market.
  • 5-7 years of Workers' Compensation bill review and PPO experience.
  • Proven success selling bill review, PPO network, or technology-enabled cost containment solutions to carriers and TPAs.
  • Bachelor's degree in Business, Marketing, Sales, or related field.
  • Established industry relationships strongly preferred.
  • Auto Liability sales experience is a plus.

Competencies
  • Detail-oriented with strong multitasking skills.
  • Results-driven team player with strong negotiation abilities.
  • Able to thrive in a fast-paced and evolving market environment.
  • Strong communication skills, including presentations, proposals, and executive-level discussions.
  • Deep understanding of Workers' Compensation bill review concepts and PPO network strategies.
  • Ability to sell consultative, technology-enabled solutions and collaborate cross-functionally.
  • Skilled at managing complex sales cycles with multi-stakeholder decision makers.
  • Ability to communicate ROI, savings performance, and value propositions clearly.

Why You'll Love Working at PHS
Benefits
  • Medical Insurance
  • Dental and Vision Insurance
  • Company-paid short-term & long-term disability
  • Company-paid group term life insurance
  • Generous PTO Policy
  • Employee recognition programs
  • Corporate office amenities
  • Frequent employee events

About Prime Health Services
Prime Health Services (PHS) is a national medical cost containment company specializing in customized PPO network solutions. Since 2001, we've partnered with insurance carriers, TPAs, self-insured groups, and government entities to deliver high-quality healthcare access at discounted rates. Our technology-driven approach allows us to provide fast, flexible, and dependable service to our clients while supporting a collaborative, employee-focused workplace.
Ready to Apply?
If you're a driven sales leader with deep Workers' Compensation expertise and a passion for delivering innovative solutions, we'd love to connect. Apply today and help shape the future of cost containment at PHS!

Apply