Bill Review Repricer - Level II

Medlogix , LLC delivers innovative medical claims solutions through a seamless collaboration of our medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.

Position: Bill Repricer Level II

Location: Remote

FMLA: Non- Exempt, Full-Time

Schedule: M-F 8am-4:30pm

General Description: Process Auto Medical and Workers Compensation Bills through various work queues based on jurisdictional and process requirements of Medlogix clients. Responsibilities:
- Process and reprice auto medical claims through different system queues in “first in first out” order and making sure to keep up with client and regulatory SLAs. - Resolve bill exceptions, verify bill data (bill images against captured data) and resolve discrepancies, follow and apply claims adjuster instructions, review for medical records and flag errors to rejection queue.

- Maintain communication when needed, between yourself and your supervisor

- Reach a daily average quota with the amount of claims/jobs you process

- Other job duties as assigned

Qualifications and Experience:

Required :
- Excellent written and verbal communication skills

- Must be process and task oriented

- Computer savvy and previous experience using Microsoft Office Products

- 1+ years medical coding experience – CPT, ICD

- 1+ years experience in Medical Bill Repricing

Preferred :

- Previous experience in Auto Claim Management

- Previous experience working in a fast-paced production environment

EEOC STATEMENT:

Medlogix is an Equal Opportunity Employer. Medlogix does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, veteran status or any other basis covered by appropriate law. We will continue to maintain our commitment to making all employment-related decisions based on the merit of each individual.

Mon-Fri
8am-4:30pm
Originally posted on Himalayas