Medical Bill Reviewer

RAS Companies•Sioux Falls, SD

6h•Remote

About The Position

Precision Bill Review, LLC specializes in reviewing workers’ compensation medical bills to ensure accurate and appropriate reimbursement by applying state fee schedules, bill review guidelines, and other applicable reductions. The Medical Bill Reviewer is responsible for timely, accurate, and consistent review of workers’ compensation medical bills to ensure appropriate reimbursement. The role requires exceptional attention to detail, critical thinking, accurate application of review guidelines, and meeting processing deadlines. Additional responsibilities include answering phone calls and providing courteous, professional customer service as needed. This is a work-from-home position with the ability to come into the office when needed. The successful candidate must reside in the Sioux Falls, South Dakota area.

Requirements

At least two years of customer service or administrative support experience.
Strong attention to detail and ability to review information accurately and consistently.
Critical-thinking and problem-solving skills, including identifying discrepancies, investigating questions, and recognizing when to seek guidance.
Organizational skills, including maintaining accurate documentation, communicating information clearly, and ensuring timely follow-through on action items.
Effective written and verbal communication skills and a customer-focused approach.
Proficiency in Microsoft Word and Excel.
Must reside in the Sioux Falls, South Dakota area and be able to come into the office when needed.

Nice To Haves

Experience in the medical, insurance, or workers’ compensation field.
Education or experience in medical coding.

Responsibilities

Review workers’ compensation medical bills for timely, accurate, and consistent processing and appropriate reimbursement.
Apply state fee schedules, bill review guidelines, and other applicable reductions accurately.
Identify discrepancies and investigate questions, seeking guidance when appropriate.
Maintain accurate documentation, communicate information clearly, and ensure timely follow-through on action items.
Answer phone calls and provide courteous, professional customer service as needed.
Meet processing deadlines.