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Bill Review Analyst I

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Helpware

Aug 23

Applications are closed

  • Job
    Full-time
    Entry Level
  • Customer Relations
    Data
  • Manila

Requirements

  • Must be able to work full time, 40 hrs per week
  • At least 2 years college level or higher
  • Able to work at any shift schedule.
  • Ability to work in a high production environment while meeting productivity and quality standards.
  • Has knowledge in Microsoft Word and Excel
  • Has knowledge in Medical Terminology such as CPT / ICD-9 / ICD-10 coding
  • CA Experienced Medical Bill Reviewer Designation is a plus
  • Proficiency with 10-Key by touch. Some typing ability.

Responsibilities

  • Encodes medical bills such as pharmacy, physical therapy, pathology, radiology, DME, anesthesia, med-legal, and other bills using IQ Review System.
  • Meet daily production quotas in analyzing and processing medical bills with prevailing fee schedule/UCR guidelines. Select proper PPO network based on client instructions.
  • Add or update Provider and Claim information as appropriate.
  • Know how to follow client instructions and other training material to properly review medical bills.
  • Provide quality review on work as specified by the Supervisor.
  • Proactively identify system and/or bill review issues and provide feedback to supervisors or managers.
  • Other duties assigned.

FAQs

What is the primary responsibility of a Bill Review Analyst I?

The primary responsibility is to encode medical bills using the IQ Review System, analyze and process them according to prevailing fee schedules and client instructions.

What qualifications are required for this position?

Candidates must have at least 2 years of college education or equivalent, be knowledgeable in Microsoft Word and Excel, understand medical terminology (CPT / ICD-9 / ICD-10 coding), and possess proficiency with 10-Key by touch.

Is there a specific work schedule for this position?

Yes, candidates must be able to work full-time, 40 hours per week, and are required to be flexible with shift schedules.

Do I need to have prior experience in medical bill review to apply?

While prior experience is not mandatory, having a CA Experienced Medical Bill Reviewer Designation is considered a plus.

What types of medical bills will I be working with in this role?

You will be working with various types of medical bills, including pharmacy, physical therapy, pathology, radiology, DME, anesthesia, and med-legal bills.

How does Helpware support employee growth and development?

Helpware provides training materials and resources to ensure that employees can properly review medical bills and encourages proactive feedback regarding any review issues.

Is there a productivity requirement for this role?

Yes, you will need to meet daily production quotas while ensuring quality standards in your work.

Will I be provided with training for this role?

Yes, you will receive training based on client instructions and other materials to help you properly review medical bills.

Do I need to provide my own equipment to work?

The job description does not specify equipment requirements, but typically, necessary tools and software are provided by the employer.

Can I work from home permanently in this role?

The job description indicates that the work is likely to be in a hybrid format, though it doesn't specify details on long-term remote work.

Amazing Customer Experiences. Together.

Technology
Industry
1001-5000
Employees
2015
Founded Year

Mission & Purpose

Founded in 2015, Helpware is a company taking a modern approach to the outsourcing industry. We created the company to change perceptions of what outsourcing is and can be, and we did that by building amazing cultures in each of our locations, and by simply treating our employees better. With Helpware, we are all a team and family, and you'll see that true difference when partnering with us. Helpware builds customized teams in Customer Service and Back Office for industry-leading startups and modern companies. With offices in California, Colorado, Kentucky, Ukraine, Philippines, Germany, and Mexico, we have the global scale to tailor custom teams and processes for success to our many powerhouse clients. Helpware has grown over the years, initially catering to startup client partners, and has now evolved into creating client partnerships with large enterprises as well.