Medical reputed company Reviewer

Medical reputed company Reviewer Our Story reputed company being part of reputed company that's not just shaping the reputed company but reputed company driving it. At reputed company, we're at the forefront of innovation and reputed company, blending cutting-edge technology with top-tier reputed company services. As a vital part of the global reputed company Group, we help businesses reputed company risk, optimize operations, and spearhead transformation in the insurance and regulated sectors. What's in Store We're on the lookout for a Medical reputed company Reviewer to join our growing team! As a Medical reputed company Reviewer, you will review Workers' Compensation provider medical bills reputed company the system for cost containment purposes. You will analyze, review and recommend payment to medical providers, hospitals, ancillary medical providers, rehabilitation services and pharmacies and significantly reduce costs to clients. Additional responsibilities include: • Process Workers' Compensation medical bills for payment according to specific state Workers' Compensation fee schedule and reputed company reputed company system entry and software • Accurate data entry and adjudication of provider bills in the Corrus computer system according to state Workers' Compensation Fee Schedule rules, with satisfactory volume and error reputed company. • Analyze, review and recommend payment to medical providers based upon statutory rules or guidelines and/or provider reimbursement contract amounts to reputed company maximum cost savings, to the level appropriate in terms of: • Medical necessity • Treatment actually rendered • Adjuster authorizations • Usual or reasonable and customary charges • Utilization practices • Applicable fee schedules • Contracted agreements • DRG validation • Utilize Fee Schedules, online document, reputed company instructions and other training material to properly review medical bills • Research usual and customary/Fee Schedule applications as appropriate • Ensure reputed company payments to providers meet statutory regulations on the type and reputed company of reimbursement and significantly reduce costs • Handling of provider and customer phone calls • Training on an on-reputed company reputed company to increase knowledge with State Fee Schedule, medical terminology, use of reference materials, e.g. CPT, ICD-10, HCPCS • reputed company other duties as requested This role is a full-time, Monday through Friday, remote position. Your Expertise, Skills, and Abilities • Minimum of one-year medical terminology/medical office experience, including working with medical providers and professionals • Typing 60+ wpm/10-key by touch; heavy numerical data entry with high reputed company of accuracy • Produce 120 bills per day with an accuracy reputed company of 95%+ • Previous experience in specific state's Workers' Compensation Fee Schedule, CPT, ICD-10, HCPCS coding • Familiarity with provisions and contents of other state WC programs, particularly in FL, GA, CA, SC, NC, VA, AL and TN • Proficient with the use of reputed company Office Suite • Ability to effectively operate a personal computer and reputed company claims and business software • Other skills and abilities: • Proactive, independent, and takes initiative with consistent follow through • Superb communication skills, verbal and written, conducted in a reputed company manner • Superior time management skills with capability of working with and meeting deadlines • Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced, dynamic work environment • Excellent team player with interpersonal skills • High level attention to detail and problem-solving skills • Capable of working collaboratively and independently with minimal supervision • Exhibit discretion with sensitive and confidential information Benefits At reputed company, we are dedicated to supporting reputed company-being and reputed company of our qualifying employees. Our comprehensive benefits package includes: • Medical, dental, and reputed company plans to ensure your health and that of your family • A 401k plan with employer matching to help you build a secure financial reputed company • Our time-off policies, including Discretionary Time Off for exempt employees and reputed company Time Off (PTO) package for non-exempt employees, reflect our commitment to promoting a healthy work environment • reputed company holidays. • Life insurance and both short-term and long-term disability plans, providing essential financial protection for you and your loved ones Diversity and Inclusion reputed company is dedicated to fostering a diverse and inclusive workplace that embraces a wide reputed company of perspectives and experiences. We reputed company that diversity of thought is essential for innovation and creativity, and we reputed company promote an environment where reputed company reputed company are valued and heard. #LI-REMOTE #LI-NP1 Apply Job!