Medical Billing Analyst (CPC)

We are seeking a detail-oriented Medical Bill Review Specialist for a REMOTE position. In this role, you will be responsible for the precise entry and analysis of CMS-1500 and UB-04 medical bills within the review system. You will act as a critical line of defense against billing inaccuracies by auditing charges for medical necessity, verifying alignment with regulatory fee schedules, and identifying potential fraud or coding errors. This is a fast-paced position that requires the ability to manage multiple project schedules, adapt to evolving client workflows, and consistently hit daily productivity targets. If you are a collaborative problem-solver who excels in a high-compliance environment and enjoys participating in daily strategic planning, we want to hear from you. This postion will be a remote position but requires candidates to work in central or eastern time zones. This is a contract project for 90- 120 days.

salary: $20 - $25 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School

Responsibilities
• Accurately input medical billing data (CMS-1500 and UB-04 forms) into the proprietary bill review system.
• Audit & Compliance: Review medical charges for necessity and accuracy, ensuring all billing aligns with fee schedules, regulatory mandates, and coding standards.
• Identify billing discrepancies, errors, or potential fraud to ensure financial accuracy.
• Execute review functions in strict accordance with evolving client-specific guidelines and internal workflows.
• Revenue Recovery: Leverage expertise in provider billing and patient accounting to identify new opportunities for overpayment recovery.
• Maintain rigorous project schedules and consistently meet or exceed daily productivity benchmarks.
• Actively participate in team scrums and planning sessions, providing clear reports on audit findings to management.

Skills
• Medical Billing
• CPC
• Medical Software
• Claims Processing
• Medical Billing - Denials
• Government Contract Billing
• Medical Terminology
• Data Collection
• Billing Audits
• Medical Coding
• ICD-10
• HIPAA
• CPT Codes
• CMS 1500 Forms
• UB-04 Claim Forms
Qualifications
• Years of experience: 4 years
• Experience level: Experienced
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Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected].

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

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