Bill Review Associate II

Who We Are 

We’re a group of talented, driven professionals who strive every day to improve the lives of our clients, our providers and the ultimate stakeholders – the injured workers. We offer an exciting workplace environment plus competitive salaries and benefits. What makes us stand out? It’s the people, the culture we foster and the opportunity to learn and to grow.

Job Summary 

The Bill Processor Level II plays a crucial role in managing and reviewing complex billing documents to ensure accuracy and compliance with company policies. This position involves processing a high volume of invoices, verifying billing details, resolving discrepancies, and communicating effectively with both internal and external stakeholders. Candidates must possess strong attention to detail, excellent organizational skills, and familiarity with billing systems and software. In addition to accurately processing bills and invoices, the Bill Processor Level II is expected to assist in resolving billing issues and provide support to team members as required. Efficient time management and the ability to meet deadlines are essential for success in this role.

Primary Duties & Responsibilities 

• Review bills to determine eligibility for processing 
• Make out bound calls to providers and clients as needed to obtain critical information and/or verify compensability 
• Validate existing data for accuracy 
• Maintain a 2 day turnaround time 
• Meet or exceed daily production goals for assigned workflow (280 standard NIS, 424 Bridge, 112 Missing Info) 
• Maintain a QA score of 97% or higher 
• Work special priority projects as assigned within established turnaround time

Qualifications 

• High School Diploma
• 0 - 2 years customer service experience
• MS Office proficiency
• Detail-oriented and solid organizational skills 
• Medical terminology / coding - I.E. CPT / HCPCS/ICD 9-10 experience and/or professional certification preferred
• Working Conditions & Physical Requirements

What We Offer 

• Possibility for remote and hybrid work opportunities
• Great work-life balance
• Medical, Dental and Vision insurance
• Company paid Life & Disability Insurance
• Flexible Spending Accounts
• 401(k) with employer contribution
• Generous Paid Time-Off policies
• Employee Assistance Program
• Referral Program