Bill Review Specialist

Dane Street, LLC

9h•Remote

About The Position

The Bill Review Specialist applies expertise in medical data entry and national repricing systems to analyze complex, high-exposure medical claims and litigation demands. The role conducts precise line-item audits to identify billing irregularities and provides clear, defensible findings that attorneys and adjusters can use in evidence-based decisions. The work supports reimbursement integrity and Dane Street’s reputation in the legal and healthcare communities. The specialist performs quality control of reports; applies repricing payer guidelines, fee schedules, line-item audits, NCCI edits, and clinical validation rules across commercial, auto/PIP, and workers’ compensation lines; and translates CPT, ICD-10, HCPCS, and DRG coding into plain language. The role reviews bills and supporting documentation, identifies duplicate, excessive, unsupported, unbundled, or incorrectly billed charges, prepares detailed reports, and communicates findings to appropriate teams. It also involves meeting productivity, quality, and turnaround-time expectations and identifying opportunities to improve accuracy and workflow efficiency. This is a remote role. The employee supplies and supports their own internet service and maintains an uninterrupted connection. Work involves prolonged sitting and computer use, close visual analysis of screens and digital documents, and frequent communication by email, chat, phone, and video conferencing. Occasional movement or positioning of office equipment or files weighing up to 10–15 pounds may be required.

Requirements

High school diploma or equivalent.
Experience reviewing invoices, billing statements, or financial documentation.
Ability to identify incorrect, duplicate, or unsupported charges.
Strong attention to detail and accuracy.
Ability to identify improperly bundled, unbundled, or redundant charges.
Ability to supply and support personal internet service and maintain an uninterrupted internet connection for remote work.

Nice To Haves

Previous experience identifying improperly bundled, unbundled, or redundant charges.
Experience in the specific industry or billing environment.
Familiarity with applicable billing guidelines and regulations.
Experience resolving billing discrepancies and communicating findings.
Experience with fee schedule UCRs or benchmark surveys.

Responsibilities

Conduct regular quality control of reports.
Apply repricing payer guidelines to maximize accuracy and identify erroneous billing or overbilling.
Apply fee schedules, line-item audits, NCCI edits, and clinical validation rules across commercial, auto/PIP, and workers’ compensation lines.
Review and audit medical bills and supporting documentation.
Identify duplicate, excessive, unsupported, unbundled, or incorrectly billed charges.
Prepare accurate, detailed, complete, and defensible bill review reports.
Communicate billing discrepancies and findings clearly to appropriate teams.
Translate complex coding and billing information into plain-language findings for attorneys and adjusters.
Meet established productivity, quality, and turnaround-time expectations.
Manage assigned bill review workload accurately and efficiently.
Identify opportunities to improve review accuracy, workflow efficiency, and overall quality.

Benefits

Medical, dental, and vision coverage for employees and their families.
Voluntary life insurance options for employees, spouses, and children.
Voluntary hospital indemnity, critical illness, accident indemnity, and pet insurance plans.
Basic life insurance at no cost.
Short-term disability coverage at no cost.
Long-term disability coverage at no cost.
Paid time off.
401(k) plan with company match.
Apple equipment and a media stipend for the remote workspace.
Professional growth opportunities.
Employee development.