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Bill Review Nurse Specialist - REMOTE! - LVN/LPN/RN
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Job Description
- Req#: 3683733
Employer Industry: Workers' Compensation and Medical Billing Services
Why consider this job opportunity:
- Salary up to $72,000 based on experience, education, certifications, and location
- Comprehensive benefits including medical, dental, and vision insurance
- 401K plan with employer contributions
- Generous paid time off and paid holidays
- Monthly internet stipend for remote work
- Opportunity to engage with medical providers and negotiate services, fostering long-term relationships
What to Expect (Job Responsibilities):
- Analyze complex medical bills and make payment recommendations based on various guidelines and regulations
- Research applicable guidelines and document clear notes related to recommendations and rationales
- Perform coding analysis, including Medically Unlikely Edits (MUEs) and Diagnosis Codes
- Engage with medical providers to negotiate services and resolve bill-specific issues
- Provide expert testimony in legal cases involving medical billing disputes
What is Required (Qualifications):
- Must be a licensed Nurse (RN, LPN, LVN) in the US
- Minimum of 3 years of experience in complex Workers' Compensation Bill Review
- Strong knowledge of medical terminology and coding
- Excellent written and oral communication skills
- Ability to work independently and meet deadlines in a high-pressure environment
How to Stand Out (Preferred Qualifications):
- Experience in performing bill audit reviews
- CPC (Certified Professional Coding) coursework or certification
- Strong interpersonal and organizational skills
- Proficiency in MS Word and MS Excel
- Experience in customer service exposure related to medical billing
#WorkersCompensation #MedicalBilling #NursingJobs #RemoteWork #CareerOpportunity
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