Medical Bill Processor

Sedgwick•Telecommuter FL, FL

About The Position

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance. The Medical Bill Processor is primarily responsible for coding provider bills, entering pre-coded billing data into the system, and verifying the output.

Requirements

High School diploma or GED required.
One (1) year of general office experience or equivalent combination of education and experience required.
Excellent oral and written communication
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Good interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies

Nice To Haves

Knowledge of medical terminology preferred.

Responsibilities

Keys pre-coded billing data into the system.
Identifies and forwards complex bills to claims examiners.
Codes provider bills in accordance with claims management system notes and state guidelines.
Follows workers compensation/auto guidelines to evaluate the services.
Compares qualifications of service provider with service provided.
Involved in system maintenance/file maintenance and interface with IT department.
Assists in account batching and distribution of incoming and outgoing mail.
Answers customer service calls from providers, clients and claims examiners.
Performs other duties as assigned.
Supports the organization's quality program(s).