ABOUT US
Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space, and our success is driven by a dynamic team passionate about delivering exceptional services to our customers.
JOB SUMMARY
We are seeking a detail-oriented and experienced full-time Bill Review Specialist (remote) to join our team. This role involves reviewing, auditing, and quality assurance of medical bills for Workers Compensation claims. The successful candidate will ensure bills are processed timely, and accurately, and adhere to State Fee Schedules and customer guidelines.
KEY RESPONSIBILITIES
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Review, audit, research, and process workers' compensation bills.
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Follow established state and federal medical bill review rules and regulations.
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Research and interpret state fee schedules.
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Stay abreast of all state and customer guidelines.
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Accurately and timely process reconsiderations and disputed bills.
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Provide customer service functions.
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Adhere to Ethos Policies and Procedures.
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Maintain confidentiality and security in all aspects of performance.
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Perform other related duties incidental to the work described herein.
QUALIFICATIONS
Education:
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Required: High school diploma or equivalent.
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Preferred: Associate degree or higher.
Skills:
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Good customer service skills.
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Strong oral and written communication skills.
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Proficiency with Microsoft Office products.
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Ability to work as part of a team.
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Strong organizational skills.
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Excellent interpersonal skills.
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Discretion and confidentiality.
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Ability to multi-task.
Experience:
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3-5 years of medical bill review and customer service experience, or an equivalent combination of training, education, and experience that provides the required knowledge and abilities.
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Knowledge of CPT/ICD-10/HCPCS coding.
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Experience with Conduent Strataware software preferred but not required.
Licenses/Certifications/Insurance:
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Certification in medical coding or medical terminology preferred but not required.
WORKING CONDITIONS
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Indoor office setting or home office.
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Prolonged computer usage including frequent sitting and typing for up to 8 hours per day.
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Regular use of telephone, instant messaging software, and email communication.
Location: Remote
Employment Type: Full-Time Hourly (Non-Exempt)
Pay Range: $17-$20/hr
Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic protected by law.