Senior Bill Review Supervisor 8/24/2016

Confidential Company Orange, CA

Company
Confidential Company
Job Classification
Full Time
Company Ref #
29269206
AJE Ref #
575973014
Location
Orange, CA
Job Type
Regular

JOB DESCRIPTION

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SENIOR BILL REVIEW ANALYST

Under general supervision, responsible for reviewing surgical, professional and hospital bills to ensure accuracy, quality, and integrity of customer accounts through adherence to all established business rules, state mandated fee schedules, and usual and customary guidelines.

KEY ACCOUNTABILITIES

* Ensure State Fee Schedule employee appraisals and proactively addressing employee grievance and performance issues. It is important that these duties are carried out in accordance with Company policies and practices and in conjunction with HR.

EXPERIENCE / KNOWLEDGE:

High School diploma or GED required

At least 5years of Medical Bill Review experience in California, as well as other states as necessary.

Experience in Workers Comp, Bill Review, and National Fee Schedule.

This position also requires California certification for Medical Bill Coding

Knowledge of CPT, ICD9, HCPCs coding as well as UB-04 and CMS 1500 form types

Anatomy and medical terminology