Itemization Review Team Lead

CERIS • Fort Worth, TX

8d • Remote

About The Position

The Itemization Review Team Lead provides support for the Itemization Review
Supervisor while working with IBR team and CERIS internal departments.

This is a remote position.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

Maintains Q&A support for the IBR Team
Effectively works with coordinator and internal departments for consistency
and accuracy of departmental processing needs
Collects supporting data and analyzes information to make decisions regarding
accuracy of billing
Appropriately documents work and final conclusions in designated computer
program
Meets department's expectations and standards
Additional duties as assigned

Requirements

• Must maintain current licensure as a Registered Nurse in the state of employment
• Must have a minimum of 5 years’ experience in Itemization Review
• Associate Degree in Nursing or higher
• Understanding of Itemization Review for designated clients
• Understanding of CERIS systems and Data Base informatics
• Understanding of HIPAA regulations
• Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly
• Demonstrated leadership skills; ability to work with Leadership Team(s) within a positive team environment
• Strategic problem solving, analytical, and critical thinking skills
• Effective written and verbal communication skills
• Ability to work independently and within a team environment
• Proficiency with Microsoft Office Suite, including Excel, Outlook, Teams

Nice To Haves

• Experience in medical bill auditing preferred but not mandatory

Responsibilities

• Maintains Q&A support for the IBR Team
• Effectively works with coordinator and internal departments for consistency and accuracy of departmental processing needs
• Collects supporting data and analyzes information to make decisions regarding accuracy of billing
• Appropriately documents work and final conclusions in designated computer program
• Meets department's expectations and standards
• Additional duties as assigned

Benefits

• Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 101-250 employees