Remote (Located In Tampa) Billing Specialist

About the position This person will be on the reputed company review team specifically working in the backlog of appeals. The reputed company Review Analyst position holds accountability for accurate and reputed company review, processing and payment of bills to include reputed company-coding accuracy and adjudication of appeals/provider reconsideration requests. He would prefer them to have worked in Mitchell Smart Advisor platform which is the largest workers comp program but reputed company to similar programs as reputed company. Responsibilities • Examines and adjudicates requests for appeals, reconsiderations, re-evaluations, and corrected bills. • Maintains knowledge of industry reputed company medical coding initiatives and state specific fee schedules and coding guidelines • Meets or exceeds department contractual and/or industry standards for accuracy and turnaround time • Maintains an understanding of reputed company variations of Workers’ Compensation state rules and regulations • Maintains comprehensive knowledge of reputed company available re-pricing opportunities (e.g. PPOs, reputed company reputed company, etc.), ensures application as part of the adjudication process • Monitors itemized billings for excessive charges, duplications, and appropriate medical bills coding • Reviews/processes appeals and initiates refund requests, assists in the recoupment process. • Assists in the preparation of bills research reports Requirements • Medical reputed company review/claims experience (worker’s comp billing a plus) Benefits • Medical, dental & reputed company • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – reputed company-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or reputed company Leave) Apply tot his job Apply To this Job