PLEASE DO NOT APPLY IF YOU DON'T HAVE THE EDUCATION AND MEDICAL BILL REVIEW EXPERIENCE
Daily responsibilities will include:
Contacting medical providers to negotiate greatest discount/savings on out of network claims.Screening medical bills for possible negotiation and contacting medical providers via fax and telephone to obtain signed settlement agreements. Assisting providers on any related dispute/issue. Monitoring In-Process Claims Report in order to meet each client’s expected turnaround time. Contracting with medical providers by utilizing out of network claim on hand as well as cold calling providers, Individual Physician Association (IPA’s), billing companies in order to generate bulk contracting opportunities.
The right candidate has the potential to double their salary.
Ideal candidates will possess the following skills:
Strong attention to detail
Ability to work independently and within a team
Strong communication skills
Must be able to think creatively
Strong organization and follow-up skills
Possess basic knowledge of Medical Bill Review
Experience Desired:
BA/BS Degree
1+ years' experience in sales or negotiation related role
Excellent verbal communication skills
Exceptional organizational skills
Proficient knowledge of Microsoft Outlook, Word, and Excel
Detail-oriented and able to work in a fast-paced environment.
Company DescriptionThe Reny Company is a rapidly growing health care cost containment company, helping clients save money and better navigate our changing health care system. We specialize in medical bill review and negotiation services for workers compensation, non-subscribers, third party administrators, and maritime clients.Company DescriptionThe Reny Company is a rapidly growing health care cost containment company, helping clients save money and better navigate our changing health care system. We specialize in medical bill review and negotiation services for workers compensation, non-subscribers, third party administrators, and maritime clients. Read LessThe Reny Company's healthcare claims data entry personnel is a professional who combines experience in data entry, health insurance and medical billing with business insight and a passion for great service. The data entry personnel will ensure the highest level of accuracy of data entry into our bill review system for claims processing.
THIS IS NOT A REMOTE POSITION
BEFORE APPLYING, PLEASE MAKE SURE THAT YOU MEET THE BELOW REQUIREMENTS:
• At least 1 years' experience in a healthcare/medical setting that required a high volume of data entry (hospital, health plan, clinic, other healthcare organization, etc.).
• Ability to type 40 Words per Minute (WPM) or 10,000 Keystrokes per Hour (KSPH).
• Proficient in using Microsoft Word and Excel.
• Comfortable being in a position that requires strictly data entry/computer work.
Job Description
• Performs high volume data entry (Average: 10,000+ KSPH).
• Perform basic management of electronic files (i.e., print, copy, transfer and delete).
• Accesses information from a computer and/or maintains a computer database.
• Enters data for envelopes, labels, form letters and correspondence.
• Formats and produces documents.
• Works with numbers (i.e., add, subtract, multiply and divide).
• Detects and correct errors.
• Uses Microsoft Word processing, spreadsheets, database or other software on a computer.
• Can also use basic office equipment (including a photocopy machine, facsimile machine, binding machine, etc.) and has the ability to follow instructions.
Requirements
• At least 2 years' experience in a healthcare/medical setting that required a high volume of data entry (hospital, health plan, clinic, other healthcare organization, etc.).
• Ability to type 40 Words per Minute (WPM) or 10,000 Keystrokes per Hour (KSPH).
• Proficient in using Microsoft Word and Excel.
• Comfortable being in a position that requires strictly data entry/computer work.
The Reny Company's bill reviewer is a professional who combines experience in health insurance and medical billing with business insight and a passion for great service. Purpose of this role is to support Claims by analyzing medical, hospital, durable medical equipment, pharmacy, home health, etc. bills and records/reports to determine billing accuracy and appropriateness. This support is achieved by utilizing intelligent software and by understanding and applying knowledge of medical code billing and claims processing rules and regulations, billing practices, code sets, and state and Medicare adjustment reimbursement principles, knowledge of WC fee schedules. Support is also achieved by providing education and training regarding provider billing and documentation, identifying and bringing to management's attention any unusual or emerging procedures or billing anomalies. The bill reviewer will ensure the highest level of accuracy of data entry into our bill review system for claims processing.
PLEASE DO NOT APPLY IF YOU DON'T HAVE THE EDUCATION AND MEDICAL BILL REVIEW EXPERIENCE
Experience Requirements:
Two or more years of experience in a medical bill review analyst position preferred. Medical coding knowledge needed. Prior experience in a payer environment working with claims systems and bill review software is a plus.
Production Requirements:
• Based upon situation or state specific issues meet 98% accuracy, 10,000+ keystrokes per hour
Responsibilities:
• Process medical bills for workers' compensation, Texas non subscription, maritime, occupational accident, and liability claims
• Data entry into system applying usual and customary, worker's compensation and liability ground rules and fee schedules
• Continuous enhancement of working knowledge of medical forms such as CMS-1500, UB-92, UBO4/DWC-9/DWC-10
• Increase knowledge of coding principles CPT, ICD-9 / ICD-10, DRG, Revenue codes
• Responsible for processing a minimum quota per day with an error rate of 98% or better
• Increase knowledge on pre-authorization guidelines in order to pay/deny bills accordingly
• Ensure all bill processing is specific to client requests
• May be asked to perform other duties as management deems necessary
Education/Qualifications:
Associates degree or equivalent work experience Certified Professional Coder certification such as CCA. CCS, CCS-P, CPC, CPC-P from a generally recognized professional organization such as AHIMA or AAPC
• Experience with Medical Bill Review preferred
•High school diploma or equivalent, college preferred
• Two to three years of medical claims experience
• Trained in ICD10 preferred
• Workers’ Compensation experience preferred
• Fee Schedule knowledge and Medicare experience preferred
• Knowledgeable of Excel, Word, Outlook, etc.
• Ability to multi-task effectively while meeting or exceeding aggressive deadlines
• Ability to work independently and in a team environment
The Reny Company is an Equal Opportunity Employer. In order to provide equal employment and advancement opportunities to all individuals, employment decisions at The Reny Company will be based on merit, qualifications and abilities. Except where required or permitted by law, employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex, national origin, ancestry, citizenship, age, handicap or disability, marital status, medical condition or any other characteristic protected by applicable law.
THIS IS NOT A REMOTE POSITION
ONLY THOSE WITH RELEVANT EDUCATION AND MEDICAL BILL REVIEW EXPERIENCE NEED APPLY
Company DescriptionThe Reny Company is a rapidly growing health care cost containment company, helping clients save money and better navigate our changing health care system. We specialize in medical bill review and negotiation services for workers compensation, non-subscribers, third party administrators, and maritime clients.Company DescriptionThe Reny Company is a rapidly growing health care cost containment company, helping clients save money and better navigate our changing health care system. We specialize in medical bill review and negotiation services for workers compensation, non-subscribers, third party administrators, and maritime clients. Read Less