Medical Bill Processor

Posted 20ds ago

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Job Description

Medical bill processor entering and coding provider bills for Sedgwick’s medical bill review operations. Verifying billing data and routing complex claims in a high-volume environment.

Responsibilities:

  • Key pre-coded billing data into the system
  • Identify and forward complex bills to claims examiners
  • Code provider bills according to claims management system notes and state guidelines
  • Follow workers compensation/auto guidelines to evaluate services
  • Compare service provider qualifications with services provided
  • Participate in system and file maintenance and interface with the IT department
  • Assist with account batching and distribution of incoming and outgoing mail
  • Answer customer service calls from providers, clients, and claims examiners
  • Verify billing output

Requirements:

  • High School diploma or GED required
  • One (1) year of general office experience or equivalent combination of education and experience required
  • Knowledge of medical terminology preferred
  • Accurate keyboarding and data entry
  • Ability to work efficiently in a high-volume production environment
  • Clear and conceptual thinking ability
  • Excellent judgement and discretion
  • Ability to meet deadlines
  • Hearing, vision, and talking abilities

Benefits:

  • A stable and consistent work environment in an office and/or virtual setting
  • Training program with a comprehensive curriculum
  • Assigned mentor and manager
  • Career development and promotional growth opportunities
  • Medical, dental, and vision insurance
  • 401(k) and matching
  • Paid time off (PTO)
  • Disability and life insurance
  • Employee assistance program
  • Flexible spending or health savings account
  • Other additional voluntary benefits