Medical Bill Reviewer-100% Remote - Township of Hamilton, United States - MEDLOGIX, LLC

MEDLOGIX, LLC

Verified Company

Township of Hamilton, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

MEDICAL BILL REVIEWER-100% REMOTE ( Anywhere in US )

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._
ESSENTIAL JOB FUNCTIONS
Identify a provider as participating or nonparticipating when the automated matching process is not able to make that determination.
Utilize appropriate software and documents to calculate contracted rates, which may include, but is not limited to the calculation of AWP, Medicare, or applicable state or federalmandated fee schedule.
Assist the Senior PPO Application Specialist with the QA process when necessary.

EDUCATION:

High School Diploma Required
REQUIRED EXPERIENCE AND SKILLS:

Experience with medical bill processes, including familiarity with CPT Codes, Revenue Codes, Bill Types, ICD-9 and/or ICD-10 Codes, State Fee Schedules, UCR, and PPO.
Ability to type with accuracy.
Ability to review documentation and make decisions on how to proceed based on department policies and procedures.
Desire to work well with others.
Motivation to be a selfstarter.

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EEOC Statement:

_**- Medlogix provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.