[Work From Home] Medical Itemized Bill Review Specialist
We're building our team and are looking for a creative Medical Itemized Bill Review Specialist! Based in our vibrant Remote office, this role is available now. This position requires a strong and diverse skillset in relevant areas to drive success. We believe in rewarding talent. The total rewards package for this role includes a competitive salary. Â Â Medical Itemized Bill Review Specialist
Our client is a high-growth, venture-backed startup, dedicated to revolutionizing the U.S. healthcare system. They encourage collaboration among individuals with diverse backgrounds and ideologies to drive innovation. If you're passionate about leveraging cutting-edge technologies to make a significant impact on U.S. healthcare, we invite you to join this companyÂs mission-driven team.
As a Medical Itemized Bill Review Specialist, you will play a crucial role in automating medical claim audits. You will review claim forms, patient medical records, and audit results to train their platform. The primary responsibilities include identifying coding/billing violations, auditing revenue codes against clinical documentation, and ensuring accuracy in claims billed versus health plan payments.
This Role Offers:
 Medical, Dental, and Vision benefits
 Flexible, paid vacation policy
 Work in a flat organizational structure with direct access to leadership.
Focus:
 Review UB-04/IB forms for coding/billing violations.
 Audit revenue codes against clinical documentation.
 Confirm services billed were rendered.
 Document inconsistencies in claims versus health plan payments.
 Validate automatic audit results based on national and payer-specific guidelines.
Skill Set:
 Facility inpatient coding/auditing experience is required.
 Extensive experience in medical billing, coding, or auditing of insurance claims and medical records.
 Familiarity with national coding guidelines such as CPT codes, ICD-9/10, HCPCS codes, DRGs, APCs, etc.
 Knowledge of hospital-based billing/coding and PHI/HIPAA compliance
 At least three years of experience in auditing and reviewing medical bills.
 One of the following certifications is mandatory: CPC/COC/CIC/CRC/CPMA
 Clinical license preferred (RN)
 Experience working at an insurance company is preferred.
 100% remote work considered for the right candidate
About Blue Signal:
Blue Signal is a leading executive search firm specializing in healthcare recruiting. Our healthcare recruiters have expertise in placing high-performing talent in healthcare IT, medical devices, biotechnology, pharmaceuticals, etc. Learn more at bit.ly/3G5DbWr Apply Job! Ready to Apply?If you are a motivated individual ready to contribute to a thriving team, we encourage you to apply now! We are excited to review your application.
Apply Now
Our client is a high-growth, venture-backed startup, dedicated to revolutionizing the U.S. healthcare system. They encourage collaboration among individuals with diverse backgrounds and ideologies to drive innovation. If you're passionate about leveraging cutting-edge technologies to make a significant impact on U.S. healthcare, we invite you to join this companyÂs mission-driven team.
As a Medical Itemized Bill Review Specialist, you will play a crucial role in automating medical claim audits. You will review claim forms, patient medical records, and audit results to train their platform. The primary responsibilities include identifying coding/billing violations, auditing revenue codes against clinical documentation, and ensuring accuracy in claims billed versus health plan payments.
This Role Offers:
 Medical, Dental, and Vision benefits
 Flexible, paid vacation policy
 Work in a flat organizational structure with direct access to leadership.
Focus:
 Review UB-04/IB forms for coding/billing violations.
 Audit revenue codes against clinical documentation.
 Confirm services billed were rendered.
 Document inconsistencies in claims versus health plan payments.
 Validate automatic audit results based on national and payer-specific guidelines.
Skill Set:
 Facility inpatient coding/auditing experience is required.
 Extensive experience in medical billing, coding, or auditing of insurance claims and medical records.
 Familiarity with national coding guidelines such as CPT codes, ICD-9/10, HCPCS codes, DRGs, APCs, etc.
 Knowledge of hospital-based billing/coding and PHI/HIPAA compliance
 At least three years of experience in auditing and reviewing medical bills.
 One of the following certifications is mandatory: CPC/COC/CIC/CRC/CPMA
 Clinical license preferred (RN)
 Experience working at an insurance company is preferred.
 100% remote work considered for the right candidate
About Blue Signal:
Blue Signal is a leading executive search firm specializing in healthcare recruiting. Our healthcare recruiters have expertise in placing high-performing talent in healthcare IT, medical devices, biotechnology, pharmaceuticals, etc. Learn more at bit.ly/3G5DbWr Apply Job! Ready to Apply?If you are a motivated individual ready to contribute to a thriving team, we encourage you to apply now! We are excited to review your application.
Apply Now