Medical Bill Reviewer I

Sentry Insurance • Stevens Point, WI

4d • Hybrid

About The Position

Join our Medical Bill Reviewing team and ensure accurate processing of wage loss/medical claims data by applying laws and regulations; handle routine bills and escalate complex issues. As a Medical Bill Reviewer I, you’ll perform a review of medical bills submitted into our Personal Injury Protection department to ensure correct billing and payment practices.

Requirements

• Technical diploma or equivalent work experience
• Basic knowledge of ICD9/ICD10, CPT, HCPCS codes necessary for accurate processing
• PC knowledge including Excel as well as keyboarding, math aptitude, and organizational skills
• Proficient analytical and decision-making skills with the ability to work independently
• High level of communication, customer service, and telephone skills required
• Ability to work within deadlines, maintain confidentiality, and work with detail and a high level of accuracy is essential

Nice To Haves

• Associate Degree in Health Informatics/Health Information/Medical Coding preferred
• 1-3 years of related work experience in a medical office, insurance environment, or medical coding beneficial

Responsibilities

• Review, evaluate, and process Personal Injury Protection (PIP) medical bills
• Utilize knowledge of medical coding requirements; including CPT/HCPCS/Revenue codes, ICD-9/ICD-10 coding, and CMS-1500/UB-04 forms to process and pay PIP medical bills
• Follow established state and federal medical bill review rules and regulations
• Communicate with medical providers regarding payment or denial of payment
• Perform well in a production-based environment regarding timely and accurate processing of PIP medical bills
• Provide superior customer service while connecting with medical providers, vendors, and internal customer inquiries relating to medical bill processing

Benefits

• Hybrid work model
• In-office workspace and materials for home office
• Equipment for home office
• Meal Subsidy
• 401(K) plan with a dollar for dollar match on your first eight percent, plus immediate vesting
• Sentry University (SentryU)
• Tuition Reimbursement program
• Generous Paid-Time Off plan
• Volunteer-Time off
• Group Medical, Dental, Vision, Life insurance
• Parental leave
• Health and Wellness benefits
• Well-being and Employee Assistance programs
• Sentry Foundation gift matching program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED