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Provider Relations Specialist (Bill Review) - REMOTE - Any State
4 days agoPay$17.00 - $20.00 / hour
LocationPhoenix/Arizona
Employment typeFull-Time
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Job Description
- Req#: 2999381
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Pay: $17-20/hr based on experience and location
- Comprehensive benefits including Medical, Dental, and Vision Insurance
- 401K plan with employer contributions
- Paid Time Off and Paid Holidays for work-life balance
- Opportunity to work remotely from home
- Chance to develop strong relationships within the provider community and enhance customer service skills
What to Expect (Job Responsibilities):
- Analyze various types of medical bills based on claim jurisdiction and applicable regulations
- Communicate bill processing methodologies to providers and address their inquiries
- Respond to all provider communications within 48 hours
- Monitor the bill review process from receipt to final payment
- Collaborate with the Bill Review team on quality assurance issues and resolve billing discrepancies
What is Required (Qualifications):
- High School Diploma required
- Minimum of 2 years of experience in complex Workers' Compensation Bill Review with customer service exposure
- Knowledge of medical terminology, CPT codes, and DRG
- Proficiency in computer programs including MS Word, MS Excel, and Email
- Strong written and oral communication skills
How to Stand Out (Preferred Qualifications):
- Hospital Bill Review experience
- Completion of CPC (Certified Professional Coding) coursework or certification
- Familiarity with state laws and fee schedules related to medical billing
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