Senior Medbill Examiner

The HartfordLake Mary, FL
23dHybrid

About The Position

We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future. The Medical Billing department is seeking a dynamic individual to fill a vacant Senior Medical Bill Examiner role. Successful candidates will be responsible for performing Medical Bill review and investigation of medical invoices to determine reimbursement based on applicable workers compensation statues and/or regulations including: Analyzing of bill for proper assignment of detailed medical coding information Interpreting workers compensation rules for repricing Entering/correcting data of medical bill information Accurate billing per the American Medical Association Review of medical documentation to support billing Ability to discuss coding to medical providers

Requirements

  • Certified Coding Designation is REQUIRED
  • Requires an ability to break down explanations of complex processes and rules into manageable information
  • Requires a demonstrated level of competency relative to initiative, willingness to act, ability to deal with ambiguity, customer focus, composure, active listening, time management, priority setting and ability to multi-task
  • A minimum of 2 years of experience in medical bill processing or coding required
  • Excellent data entry skills / Requires computer literacy and strong keyboard skills
  • Requires excellent communication skills
  • Requires an ability to problem solve
  • High school diploma or equivalent required
  • Requires some college or equivalent experience

Nice To Haves

  • Medical terminology/coding coursework or experience preferred

Responsibilities

  • Performing Medical Bill review and investigation of medical invoices
  • Analyzing of bill for proper assignment of detailed medical coding information
  • Interpreting workers compensation rules for repricing
  • Entering/correcting data of medical bill information
  • Accurate billing per the American Medical Association
  • Review of medical documentation to support billing
  • Ability to discuss coding to medical providers
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