Job Description
We're building our team and are looking for a creative Medical Itemized Bill Review Specialist! Based in our vibrant Remote office, this role is available now. This position requires a strong and diverse skillset in relevant areas to drive success. We believe in rewarding talent. The total rewards package for this role includes a competitive salary.
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Medical Itemized Bill Review SpecialistOur client is a high-growth, venture-backed startup, dedicated to revolutionizing the U.S. healthcare system. They encourage collaboration among individuals with diverse backgrounds and ideologies to drive innovation. If you're passionate about leveraging cutting-edge technologies to make a significant impact on U.S. healthcare, we invite you to join this companyรยs mission-driven team.
As a Medical Itemized Bill Review Specialist, you will play a crucial role in automating medical claim audits. You will review claim forms, patient medical records, and audit results to train their platform. The primary responsibilities include identifying coding/billing violations, auditing revenue codes against clinical documentation, and ensuring accuracy in claims billed versus health plan payments.
This Role Offers:
รย Medical, Dental, and Vision benefits
รย Flexible, paid vacation policy
รย Work in a flat organizational structure with direct access to leadership.
Focus:
รย Review UB-04/IB forms for coding/billing violations.
รย Audit revenue codes against clinical documentation.
รย Confirm services billed were rendered.
รย Document inconsistencies in claims versus health plan payments.
รย Validate automatic audit results based on national and payer-specific guidelines.
Skill Set:
รย Facility inpatient coding/auditing experience is required.
รย Extensive experience in medical billing, coding, or auditing of insurance claims and medical records.
รย Familiarity with national coding guidelines such as CPT codes, ICD-9/10, HCPCS codes, DRGs, APCs, etc.
รย Knowledge of hospital-based billing/coding and PHI/HIPAA compliance
รย At least three years of experience in auditing and reviewing medical bills.
รย One of the following certifications is mandatory: CPC/COC/CIC/CRC/CPMA
รย Clinical license preferred (RN)
รย Experience working at an insurance company is preferred.
รย 100% remote work considered for the right candidate
About Blue Signal:
Blue Signal is a leading executive search firm specializing in healthcare recruiting. Our healthcare recruiters have expertise in placing high-performing talent in healthcare IT, medical devices, biotechnology, pharmaceuticals, etc. Learn more at bit.ly/3G5DbWr Apply Job!
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Ready to Apply?
If you are a motivated individual ready to contribute to a thriving team, we encourage you to apply now! We are excited to review your application.
Apply Now