Medical Bill Review Specialist

  • Location
    Anaheim, California
  • Category
    Billing / Collections
  • Job reference:
    US_EN_7_849098_2735585
  • Salary:
    $ 16 - $ 18
  • Job Type
    Contract/Temp to Hire

Medical Review Specialist

Ajilon is seeking a Contract-to-Hire Medical Review Specialist with 3 or more years of experience in workers compensation medical bill review. Knowledge of relevant healthcare billing parameters including CPT/HCPCS, MS-DRG required. 

Responsibilities include; Negotiating payments, confirming reimbursements, preparing payment proposals, researching start fee schedule rules and regulations, maintaining relevant healthcare payment policy practices.

This is a great opportunity for a Medical Reviewer to continue to grow and develop their skills. This person must have excellent customer service, multi-tasking ability, and a true passion for helping people!

Responsibilities:

  • Negotiate discounts and payments
  • Confirm reimbursement of medical bills directly with providers
  • Verbal or written contact with providers to establish reimbursement rates on select medical bills through signed confirmed agreements
  • Prepare payment proposals detailing reimbursement methodology and offer
  • Maintain and track updates for all bills in review
  • Research state fee schedule rules and regulations
  • Maintain common coding and billing practices
  • Understand and enforce internal business rules along with custom client specific workflow processes
  • Regular, reliable, and punctual attendance is required 
  • Other duties as assigned

Experience:

  • 3 years of workers compensation medical bill review experience
  • Relevant customer service billing experience including provider interaction
  • Billing/Collections of Medical Billing
  • Advanced in MS Word/Excel/Outlook
  • Regular, reliable, and punctual attendance

Skills:

  • Knowledge of relevant healthcare billing parameters (CPT/HCPCS, MS-DRG, Revenue Code Classifications, and Diagnosis Codes)
  • Ability to work in a team setting environment
  • Strong verbal and written communication
  • Effective time management
  • Strong multitasking skills

Hours: Full Time - M-F 

Industry: Medical Billing

If you meet the qualifications listed above and are interested in this Contract-to-Hire role, send a Word doc of your resume to Halie.Crom@Ajilon.com. Not specifically what you are looking for? Please browse other available roles in the area online at the Ajilon website at www.ajilon.com

 

Please apply with your CV to:

An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

EEO - EEO Poster Suppl - Affimative Action Policy
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