Medical Bill Review (Workers Compensation) Job at Elite, Dallas, TX

bm1jT1pGcGJYb2NxSGJ5dWVUNXRSZmczeWc9PQ==
  • Elite
  • Dallas, TX

Job Description

Job Description

Job Description

Description of Role: Clinical Bill Review Nurse (Workers Compensation)

Required Credentials: LPN or RN (active and unencumbered)
Hourly Pay Range: $35-$40 per hour (non-exempt)
Location: REMOTE - Work from Home

Performs a complete review of medical records associated with the bill and a line-by-line thorough audit of the itemized bill scrutinizing for the following:

• Reviews medical bills for unrelated charges, non-compensable charges, coding and billing errors.

• Achieves percent of savings expectations through their review billing.

• Communicates audit findings to physicians’ offices and hospitals.

• Ensures proper documentation and record keeping for all interactions.

• Identify charges not supported by documentation.

• Identify charges not related to the work comp injury.

• Identify charges that should not be unbundled.

• Diagnosis Related Group Validation.

• Implant verification/proof of service.

• Correct use of CPT, Diagnosis, Procedure, HCPCS codes as well as modifiers.

• Unlisted or BR code verification and/or re-pricing.

Credentials: LPN or RN Company Description

Recruitment (Direct Hire Placement) and Staffing Services Company

Company Description

Recruitment (Direct Hire Placement) and Staffing Services Company

Job Tags

Hourly pay, Remote work,

Similar Jobs

SeekTeachers

Dubai Primary English Teacher Job at SeekTeachers

 ...English Teacher needed in Dubai | Primary ESL Teacher | Register FREE now to secure your job for the next academic year Do you dream...  ...per annum **FREE medical cover **FREE flight cover **FREE visa cover **50% utilities covered **Annual no absence bonus **One... 

One River School of Art and Design

Northern and Central NJ - Director of Art Education Center Job at One River School of Art and Design

 ...Job Description Job Description Seeking an experienced service industry manager with a background in visual arts to work in one of our new Central or Northern NJ schools. The Director at a One River School is responsible for 4 key pillars of driving school success... 

Houston Independent School District

Teaching Assistant-10M ( SPED) (2023-2024) Job at Houston Independent School District

 ...design and implementation of educational programs and services. Assists with test administration. May provide specialized assistance...  ...EDUCATION See Licensing/Certification Requirements below WORK EXPERIENCE No experience except as required for the Educational Aide... 

Tipton Agency

Insurance Broker Work From Home Job at Tipton Agency

 ...(TA) is a comprehensive life insurance and retirement solutions provider...  ...HOW do we do it? We have a NATIONWIDE inventory of leads from...  ...rooms, in the comfort of their home, or even over a shared meal!...  ...commission for 15-20 hours of work per month (around six policies... 

SonicJobs

UI/UX Designer Job at SonicJobs

 ...serve more than one hundred corporate clients including several Fortune 500 companies. About the role Were looking for a UI/UX Designer to craft intuitive, beautiful, and effective experiences across SonicJobs products. You will take ownership of the design...