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

VGRmVHJpYlJTNXJ1clRCZ0JjcTRLUnozSXc9PQ==
  • 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

Remote work,

Similar Jobs

The United States Secret Service

Executive Protection Officer (Hiring Immediately) Job at The United States Secret Service

 ...courageous, intelligent, strong and determined. A diverse team capable of balancing our investigative mission and fulfilling our protective legacy. Proven to be worthy of trust and confidence. Be tomorrow's Secret Service. Duties During the course of their careers, Uniformed... 

Benchling

Product Manager, Chemistry Job at Benchling

 ...goods that we rely on every day. But moving at the new speed of science requires better technology. Benchlings mission is to...  ...-making for chemists. Drive alignment across stakeholders, communicating priorities, tradeoffs, and outcomes clearly and persuasively.... 

Adams Community Bank

Mortgage Underwriter Job at Adams Community Bank

 ...We are an employee and customer focused savings bank and are looking for an energetic full time Mortgage Underwriter. We offer an environment of excellence where teamwork and accountability are a must! This position in our Loan Operations department in our Operations... 

Next Level Delivery Solutions LLC

Amazon Delivery Driver $21.75 - $23 /hour Job at Next Level Delivery Solutions LLC

 ...Next Level Delivery Solutions LLC is an Amazon DSP known for its exceptional delivery performance operating out of Amazon Warehouse...  ...States. Delivery Driver Associate Responsibilities: Safely drive and operate a delivery vehicle, and work with a safety focused mindset...