Itemization Review Team Lead

CERIS • Fort Worth, TX

5d • 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.

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