Bill Review Specialist
2 months ago
Our Ideal Candidate
As a Bill Review Specialist, you are responsible for applying WellRithms’ reimbursement methodology through medical bill review. This position requires experience in medical billing and CPT coding and the ability to process medical bills timely and efficiently. Your previous experience in the group health or workers’ compensation fields is a plus. You will gain an understanding of the client’s protocols, workflow, and operational needs for all medical bill types.
Responsibilities
- Analyze medical bills and ensure the WellRithms reimbursement methodology is applied effectively.
- Perform a thorough review of the medical bill, records, and medical itemization to determine reasonable reimbursement.
- Review, process, and validate the correct use of medical billing CPT codes.
- Correct the errors and work with the staff and existing workflow to complete the medical review.
- Communicate with medical providers to get additional information for specific medical bills.
- Meet a minimum number of claims/bills reviewed per day while meeting quality assurance expectations.
- Other duties as assigned.
Qualifications
- High School diploma is required; some college is preferred.
- 2-3 years of experience in healthcare or a related field is preferred.
- Knowledge of CPT coding and medical terminology.
- Familiarity with HCFA150 and UB92 billing forms.
- Excellent written and oral communication skills.
- Ability to meet deadlines in a time-sensitive environment.
- High comfort level with computers and software programs (MS Word, Excel, Outlook).
- CPC (Certified Professional Coding) education or certification is preferred.
Compensation & Benefits
Supporting the people working for transformation is important to us, which is why we provide benefits including:
- Generous health, dental, and vision coverage.
- A company-funded health savings account.
- Life insurance.
- A 401(k)-savings plan supported by a company contribution.
- Generous paid time off.
- Professional training and development.
- Options to work remotely, in a fun office environment, or a hybrid schedule.
- Company-funded professional coaching.
- Classification: Hourly, Non-Exempt
- Status: Full-time, Regular
Company DescriptionWellRithms is among the fastest-growing companies in the U.S., leading the charge in transforming healthcare reimbursement. Our mission is to create transparency in the healthcare industry by educating and empowering payers, patients, and providers about proper medical billing payments through data, legal, and medical expertise. We aim to stop fraud and abuse in medical billing and payors a reasonable-cost alternative. Headquartered in Portland, Oregon, we now have employees from over ten states Join a dynamic group of trailblazers and help pave the way for payment fairness in the healthcare industry.Company DescriptionWellRithms is among the fastest-growing companies in the U.S., leading the charge in transforming healthcare reimbursement. Our mission is to create transparency in the healthcare industry by educating and empowering payers, patients, and providers about proper medical billing payments through data, legal, and medical expertise. We aim to stop fraud and abuse in medical billing and payors a reasonable-cost alternative. Headquartered in Portland, Oregon, we now have employees from over ten states Join a dynamic group of trailblazers and help pave the way for payment fairness in the healthcare industry.
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