Bill Repricer - Level III (REMOTE in EST OR CST time zone)

MEDLOGIX, LLC • Southfield, MI

2d • Remote

About The Position

Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve. GENERAL DESCRIPTION: Process Auto Medical and Workers Compensation Bills through various work queues based on jurisdictional and process requirements of Medlogix clients.

Requirements

• Excellent written and verbal communication skills
• Must be process and task oriented
• Computer savvy and previous experience using Microsoft Office Products
• 1+ years medical coding experience – CPT, ICD
• 1+ years experience in Medical Bill Repricing

Nice To Haves

• Previous experience in Auto Claim Management
• Previous experience working in a production environment

Responsibilities

• Process and reprice complex (e.g. coordination of benefits; lien processing; quality control) auto medical claims through different system queues in “first in first out” order and making sure to keep up with client and regulatory SLAs.
• Review of lower level bill repricing staff to ensure quality of review as well as areas of improvement.
• Handling of complex claim messages and bill reconsiderations.
• Review and adjudication of complex medical bill review processes in key jurisdictions such as New York, Michigan and Florida.
• Maintain communication when needed, between yourself and your supervisor
• Reach a daily average quota with the amount of claims/jobs you process
• Coverage for lower level bill repricing staff when needed.
• Other job duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level