Medical Itemized Bill Review Specialist
Medical Itemized Bill Review Specialist
Our 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 company?s 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:
? Medical, Dental, and Vision benefits
? Flexible, paid vacation policy
? Work in a flat organizational structure with direct access to leadership.
Focus:
? Review UB-04/IB forms for coding/billing violations.
? Audit revenue codes against clinical documentation.
? Confirm services billed were rendered.
? Document inconsistencies in claims versus health plan payments.
? Validate automatic audit results based on national and payer-specific guidelines.
Skill Set:
? Facility inpatient coding/auditing experience is required.
? Extensive experience in medical billing, coding, or auditing of insurance claims and medical records.
? Familiarity with national coding guidelines such as CPT codes, ICD-9/10, HCPCS codes, DRGs, APCs, etc.
? Knowledge of hospital-based billing/coding and PHI/HIPAA compliance
? At least three years of experience in auditing and reviewing medical bills.
? One of the following certifications is mandatory: CPC/COC/CIC/CRC/CPMA
? Clinical license preferred (RN)
? Experience working at an insurance company is preferred.
? 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
Similar Remote Jobs
Medical Itemized Bill Review Specialist
Posted on: 05-01-2025 17:57
Remote Data Entry Associate (Typing)
Posted on: 05-01-2025 17:57
JavaScript Virtual Machine Compiler Engineer
Posted on: 05-01-2025 17:57
Marketing Campaign Strategy Lead (Remote)
Posted on: 05-01-2025 17:57
EZ-AD TV Technical Support Rep
Posted on: 05-01-2025 17:57
WFH Clerk Typist- Part Time
Posted on: 05-01-2025 17:57
Agents for Web Chat Support
Posted on: 05-01-2025 17:57
Southwest Airline Remote Position $27/Hour
Posted on: 05-01-2025 17:57
ONLINE Entry Level Training Provided
Posted on: 05-01-2025 17:57
Entry Level Customer Training Professional
Posted on: 05-01-2025 17:57
Localization Project Manager, Product
Posted on: 25-09-2024 00:00
Netflix Binge-Watching Job
Posted on: 03-12-2024 06:00
Entry Level Insurance Specialist
Posted on: 11-01-2025 15:33
Online Order Filling Team Associate
Posted on: 03-02-2025 00:00
Fully Work From Home Client Service Representative
Posted on: 28-10-2024 09:49
Hotel Reservationist-Entry Level (Remote)
Posted on: 13-12-2024 17:48
Kelly connect Work from Home ?ustomer Service Representative
Posted on: 19-09-2024 00:00
Remote Customer Chat Representative
Posted on: 13-09-2024 00:00
(Online Part-Time Remote Jobs) Delta Airlines Data Entry : Earn $20/Hour
Posted on: 23-01-2025 00:00
Senior Pharmacy Technician - Remote in Vermont
Posted on: 20-01-2025 06:21