Complex Medical Billing Specialist

1 week ago


Schaumburg, Illinois, United States Zurich NA Full time
Job Summary">

We are seeking a highly skilled Complex Medical Billing Specialist to join our team in Schaumburg, IL. As a key member of our team, you will analyze and resolve complex medical billing disputes, evaluate medical bills for accuracy and completeness, and ensure compliance with regulatory requirements.

Responsibilities:
  • Analyze and resolve complex medical billing disputes by collaborating with corporate law, Technical Claims, and other stakeholders.
  • Validate medical treatments and charges against compensable injuries using medical expertise.
  • Ensure compliance with Best Practices by accurately reviewing medical bills within regulatory timelines.
  • Identify and report suspicious billing activities to the Special Investigations Unit.
  • Resolve escalated billing issues by applying medical expertise and adhering to policies and procedures.
Requirements">

To be successful in this role, you will need:

  • A bachelor's degree and 2+ years of experience in Critical Care, Emergency Room, Medical-Surgical, or Operating Room settingsOR
  • An associate degree and 4+ years of experience in the areas listed above
  • An active Registered Professional Nurse license
  • Customer service experience
  • Knowledge of CPT, ICD-9, ICD-10 codes, and medical terminology
About Zurich North America">

We are a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500.

We strive to provide ongoing career development opportunities and foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging.

Compensation and Benefits">

The estimated salary for this position is $83,400 - $136,600, with short-term incentive bonus eligibility set at 10%. In addition to a competitive salary, we offer a comprehensive employee benefits package, including health, dental, and vision insurance, retirement savings plan, paid time off, and professional development opportunities.



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