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WellRithms Inc.
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  • Our Ideal Candidate We are seeking a seasoned professional with proven... Read More
    Our Ideal Candidate We are seeking a seasoned professional with proven experience managing attorneys and legal counsel, coupled with a deep understanding of litigation strategyparticularly within the workers compensation space. As the Workers Compensation Counsel, you excel at navigating and adapting to different regulations, processes, and proceedings across multiple states. You understand medical reimbursement in workers compensation and use that knowledge to drive efficient, compliant case resolution. You bring agility, insight, and leadership to thrive in a dynamic legal and regulatory environment. In this role, you will report to the Chief Executive Officer. Responsibilities Manage day-to-day litigation activities across multiple states, including filings, hearings, and dispute resolution. Develop and implement litigation strategies for workers compensation, including complex claims. Provide guidance and oversight to external attorneys and in-house counsels, shaping approaches to multi-state cases. Monitor evolving regulations and industry best practices to inform strategy and ensure compliance. Advise internal teams on risk management and optimal case outcomes. Apply expertise in medical reimbursement to drive efficient, compliant case resolution. Directly review and handle complex workers compensation claims as needed. Collaborate with internal teams and external stakeholders to execute case strategies and achieve results. Qualifications Juris Doctor (JD) degree and active bar license in Oregon; multi-state licensure a plus. 5-10 years experience managing attorneys and legal counsel, preferably in workers compensation. Strong expertise in workers compensation litigation strategy, including complex cases. Deep knowledge of multi-state regulations, procedures, and compliance requirements in workers compensation. Proficiency in medical reimbursement practices and their application in workers compensation claims. Demonstrated ability to balance strategic oversight with hands-on case management. Experience working with expert witnesses in litigation or claims resolution. Excellent leadership, communication, and collaboration skills across teams and stakeholders. Proven ability to adapt quickly to evolving regulations and changing case dynamics. Must be based in the Portland metro area or able to commute regularly. Read Less
  • Bill Review Specialist (Portland)  

    Our Ideal Candidate At WellRithms, were redefining medical reimburseme... Read More
    Our Ideal Candidate At WellRithms, were redefining medical reimbursementand we need sharp, motivated professionals to help us lead the way. As a Bill Review Specialist, youll play a critical role in ensuring fair and accurate medical billing. Youll apply WellRithms proprietary reimbursement methodology to review and process medical bills with precision. This is more than just a jobits an opportunity to deepen your expertise in medical billing and CPT coding while contributing to a mission-driven organization that values integrity and innovation. This role reports to the Bill Review Supervisor. Responsibilities Analyze and evaluate medical bills to ensure accurate application of WellRithms reimbursement methodology within required timelines. Conduct detailed reviews of medical bills, supporting records, and itemized charges to determine fair and reasonable reimbursement. Verify and validate CPT, HCPCS, and other medical billing codes , ensuring correct usage and alignment with industry standards. Identify and correct billing discrepancies , collaborating with internal teams and leveraging established workflows to complete timely, high-quality reviews. Communicate directly with medical providers to request clarification, additional documentation, or corrections needed for accurate bill processing. Consistently meet daily productivity and quality assurance targets , maintaining accuracy in a fast-paced, time-sensitive environment. Support departmental needs by performing additional duties as assigned, contributing to continuous workflow improvement and operational efficiency. Qualifications High School diploma is required; some college is preferred. 2-3 years of experience in healthcare or a related field is preferred. Knowledge of CPT coding and medical terminology. Familiarity with HCFA1500 and UB-04 billing forms. Excellent written and oral communication skills. Ability to meet deadlines in a time-sensitive environment. High comfort level with computers and software programs (MS Word, Excel, Outlook). CPC (Certified Professional Coding) education or certification is preferred. Read Less

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Astrid-Lindgren-Weg 12 38229 Salzgitter Germany