CAS Bill Review Auditor

Heartland Security Insurance Group•Tyler, TX

2d•Onsite

About The Position

The Bill Review Auditor is responsible for the adjudication of workers’ compensation medical bills. This position performs administrative and complex clerical work in processing and controlling medical expenses related to Workers’ Compensation. Essential Functions & Responsibilities Enter pre-coded billing data into system and verify output as it relates to Workers Compensation medical bills. Check eligibility for payment. Answer verbal and written communication. Interpret and apply company rules and procedures. Other light clerical and administrative duties. Meet or exceed production goal (set based on experience). Maintain an accuracy ratio of at least 98%.

Requirements

1-2 years of relevant medical billing or coding administrative experience.
High school diploma or equivalent.
Must display a working knowledge and understanding of ICD-9, ICD-10, HCPCS, CPT coding, and medical terminology.
Must be proficient in MS Word, Excel, and Outlook.
Must be proficient in 10 key by touch.
Must be able to type minimum 50 wpm.
Must possess good oral and written communication skills.
Must have strong attention to detail.
Ability to work with a team.
Ability to work independently.
Ability to make prompt decisions.
Ability to meet or exceed timed deadlines.
Ability to perform fast data entry with a high degree of accuracy.

Nice To Haves

A college degree or some college preferred.

Responsibilities

Enter pre-coded billing data into system and verify output as it relates to Workers Compensation medical bills.
Check eligibility for payment.
Answer verbal and written communication.
Interpret and apply company rules and procedures.
Perform other light clerical and administrative duties.
Meet or exceed production goal (set based on experience).
Maintain an accuracy ratio of at least 98%.

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