[Remote] Bill Repricer - Level III (REMOTE in EST OR CST time zone)
Note: The job is a remote job and is open to candidates in USA. Medlogix, LLC delivers innovative medical claims solutions and is seeking a Bill Repricer - Level III. The role involves processing auto medical and workers compensation bills while ensuring quality control and adherence to client and regulatory SLAs.
Responsibilities
- Process and reprice complex (e.g. coordination of benefits; lien processing; quality control) auto medical claims through different system queues in “first in first out” order and making sure to keep up with client and regulatory SLAs
- Review of lower level bill repricing staff to ensure quality of review as well as areas of improvement
- Handling of complex claim messages and bill reconsiderations
- Review and adjudication of complex medical bill review processes in key jurisdictions such as New York, Michigan and Florida
- Maintain communication when needed, between yourself and your supervisor
- Reach a daily average quota with the amount of claims/jobs you process
- Coverage for lower level bill repricing staff when needed
- Other job duties as assigned
Skills
- 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
- Previous experience in Auto Claim Management
- Previous experience working in a production environment
Company Overview