Bill Review Specialist – Workers Compensation

🔥 15 hours ago

🐊 Florida – Remote

🐊 Florida – 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 analyze complex medical bills and make payment recommendations based on claim history, medical notes, usual and customary rates, statutory regulations including state laws and fee schedules, available MPN/PPO contracts, coding guidelines, client instructions, and company policies and procedures • Review and verify correct use of medical billing codes and report improper use of billing codes to the Bill Review Manager • Participate in the quality assurance process from initial receipt of bills through final payment • Monitor and correct duplications and inaccurate or outdated data to protect system integrity • Communicate with medical providers to obtain needed information and resolve bill-specific issues • Communicate directly with clients and respond to their 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 • Applicants residing in California, New York, or Hawaii are not being accepted or considered

🏖️ Benefits

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