Bill Review Specialist – Workers Compensation

🔥 16 hours ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $18 - $22 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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EK Health Services Inc.

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1998

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

EK Health Services Inc. is a comprehensive healthcare management company specializing in case management, medical bill management, and vocational services. They offer services such as discharge planning, utilization review, ergonomic evaluations, and Medicare set-aside services, ensuring excellence and efficiency in healthcare delivery. EK Health is committed to innovation and quality care, partnering with various organizations to enhance their offerings and support injured employees.

📋 Description

• Accurately and appropriately analyze complex medical bills and make payment recommendations based on claim history, medical notes, usual and customary rates (UCR), statutory regulations including state laws and fee schedules, available MPN/PPO contracts, coding guidelines, client instructions, and company policies and procedures • Review and verify the correct use of medical billing codes and report improper use of billing codes to the BR Manager • Participate in the quality assurance (QA) process from initial receipt of bills through final payment • Protect system integrity by monitoring and correcting duplications and inaccurate/outdated data • Communicate with medical providers to obtain needed information and resolve bill-specific issues • Communicate directly with clients, responding to and answering questions quickly and professionally • Participate in ongoing training to enhance job skills and knowledge • Perform other duties as assigned • Report to the Bill Review Supervisor • Work remotely Monday through Friday, 7am–4pm local time

🎯 Requirements

• High School Diploma required; some college or college degree preferred • 2+ years of experience in complex Workers' Compensation Bill Review with customer service exposure • Knowledge of medical terminology, CPT codes, and DRG • Ability to read, analyze, and interpret technical procedures, medical reports, state laws and fee schedules • Hospital Bill Review experience a plus • CPC (Certified Professional Coding) coursework or certification a big plus • Excellent Written and Oral Communication & Interpersonal Skills • Strong Organization Skills • High comfort level with computers and computer programs (MS Word, MS Excel, Email) • Ability to meet deadlines in a high pressure, time sensitive environment • Ability to lift up to 20 lbs. • Candidate must be able to sit the majority of an 8-hour day except for lunch and break times • Candidate must be able to keyboard the majority of an 8-hour day except for lunch and break times • Candidate must have manual dexterity • Candidate must be able to speak on the telephone intermittently throughout the day • Candidate must be able to read and write English fluently • Candidate must be able to provide and confirm safe home office environment • Home office must be HIPAA compliant • Requires DSL, fiber, or cable internet connection from home; 100 Mbps preferred or better

🏖️ Benefits

• Medical, Dental and Vision Insurance • 401K • Paid Time Off • Paid Holidays • Monthly internet stipend • Equipment provided