About Us:
We are a leading healthcare services company dedicated to streamlining and improving the medical billing process. We are committed to quality, accuracy, and efficiency in every aspect of our operations. As we continue to grow, we are seeking a detail-oriented, experienced Medical Bill Reviewer to join our fully remote team. If you have a passion for ensuring accuracy in healthcare billing and thrive in a remote work environment, we invite you to apply and be part of our innovative team.

Job Summary:
As a Medical Bill Reviewer, you will be responsible for examining medical bills and related documentation to ensure accuracy, compliance, and appropriate coding. Your critical analysis will help reduce errors, prevent overbilling, and ensure that providers receive proper compensation. This role is crucial to maintaining financial integrity and supporting the overall quality of our healthcare services. You will work independently from anywhere in the United States, collaborating with our billing and compliance teams to review, audit, and resolve discrepancies.

Key Responsibilities:

• Review Medical Bills: Analyze medical bills, claims, and supporting documents for accuracy, completeness, and compliance with coding guidelines.
• Ensure Compliance: Verify that billing practices adhere to current regulations, insurance guidelines, and industry standards (including ICD-10, CPT, and HCPCS codes).
• Identify Discrepancies: Detect errors, inconsistencies, or potential fraud in billing documentation and communicate findings to relevant departments for resolution.
• Audit & Reporting: Conduct regular audits of billing records, compile reports, and provide detailed documentation of findings for management review.
• Collaborate with Teams: Work closely with billing, coding, and compliance teams to address issues, recommend process improvements, and implement corrective actions.
• Maintain Up-to-Date Knowledge: Stay informed about changes in healthcare regulations, billing guidelines, and coding updates to ensure ongoing compliance and accuracy.
• Customer & Provider Support: Assist healthcare providers and internal teams with inquiries related to billing issues, offer guidance on best practices, and help resolve disputes.

Qualifications & Skills:

• Experience Required: A minimum of 2-3 years of experience in medical billing, coding, or medical bill review is preferred. Experience in a remote work environment is a plus.
• Technical Skills: Proficiency in using billing software, electronic medical records (EMR) systems, and Microsoft Office. Familiarity with healthcare reimbursement models is essential.
• Attention to Detail: Exceptional analytical and problem-solving skills with a keen eye for detail and accuracy in data review.
• Regulatory Knowledge: In-depth understanding of healthcare billing regulations, compliance standards, and current coding systems (ICD-10, CPT, HCPCS).
• Communication: Excellent verbal and written communication skills, with the ability to clearly explain discrepancies and work collaboratively with remote teams.
• Time Management: Strong organizational skills and the ability to manage multiple tasks and deadlines independently.

Why Join Us?
Working with us means being part of a dynamic, remote team that values accuracy, compliance, and continuous improvement. We offer competitive pay, flexible scheduling, comprehensive benefits, and opportunities for career advancement in a growing industry. If you are motivated, detail-oriented, and committed to excellence in medical billing review, we encourage you to apply today and help us drive quality and integrity in healthcare billing.