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

bktWVGtTT2MybnAxR1NGbG5PbElzTTgvR3c9PQ==
  • 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

Simple Steps LLC

Life Skills Coach Job at Simple Steps LLC

 ...Job Description Job Description LIFE SKILLS COACH PART-TIME UP TO 4 Hours per week with a potential to increase hours due to the Veteran needs! Simple Steps, LLC currently has a Life Skills Coach position open in the Rustburg, VA area. PREFERRED Knowledge... 

Luke Associates

Radiographic Technologist Job at Luke Associates

 ...Job Description RADIOGRAPHIC TECHNOLOGIST We encourage Military Veterans and Military Spouses to apply SITE OF SERVICE:...  ...be U.S. citizens. English Language Requirement: The Contractor shall ensure that all HCWs providing services under this contract... 

Continuum Medical Staffing

Physician / Surgery - Orthopedics / California / Permanent / Orthopedic Surgeon Barstow California Job Job at Continuum Medical Staffing

 ...ORTHOPEDIC SURGEON BARSTOW CALIFORNIA We are seeking a BE/BC Orthopedic Surgeon to provide full-time services. This is an amazing personal and professional opportunity to join an established and growing practice in an under-served area.Location is everything! Practice... 

MarinHealth

Trauma Surgeon Job at MarinHealth

 ...Sonoma County. The Position: ~ Join a highly regarded, community-based practice of general and colorectal surgeons. ~ Full-time position covering 7 Trauma shifts per month at MHMC, a Level III Trauma Center. ~1 Outpatient clinic day per week in Larkspur with... 

Akraya, Inc.

Data Analyst - Marketing Insights: 25-05464 Job at Akraya, Inc.

Data Analyst - Marketing Insights : 25-05464 Data Analyst - Marketing Insights : 25-0...  ...capabilities in R and Python.Industry Experience:No specific domain experience...  ...positions and join our team!Seniority level Seniority level Entry levelEmployment type Employment...