The Rawlings Group
Medical Itemized Bill Reviewer (IBRL-1 Analyst)
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Job Description
- Req#: 251203
Employer Industry: Healthcare Intelligence
Why consider this job opportunity:
- Salary up to $90,000
- Opportunity for career progression and personal development
- Remote and hybrid work options available
- Comprehensive benefits including health, vision, dental coverage, and 401(k) with company match
- Paid time off, holidays, and volunteer days
- Supportive and collaborative work culture that values innovation and integrity
What to Expect (Job Responsibilities):
- Perform in-depth reviews of medical claims utilizing UB-04 and detailed itemized statements to ensure accuracy of charges
- Verify the validity of itemized charges against client policy and industry standards
- Validate automatic system denials and recommend enhancements for efficient claims processing
- Consult with Senior Analysts regarding claims review issues and assist in content development
- Manage daily assignments to meet client turnaround times while complying with company standards
What is Required (Qualifications):
- Bachelor’s degree in health administration, business, nursing, or a related field
- Minimum of 1 year of experience in itemized bill review
- At least 2 years of experience in healthcare billing and coding
- Strong attention to detail with excellent written and verbal communication skills
- Proven ability to work independently and manage multiple projects in a fast-paced environment
How to Stand Out (Preferred Qualifications):
- Experience in the healthcare payment integrity industry
- Familiarity with advanced features of Microsoft Office (Excel, PowerPoint, Word)
- Proven success in a remote working environment
- Background in working with multiple monitors and various software applications
#HealthcareIntelligence #RemoteWork #CareerGrowth #InnovativeCulture #HealthcareBilling
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
The Rawlings Group has an unbeaten record of recovering more money for more health plans than any other vendor. Contact us today.
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