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

OFFRSFBpZDhYVHlJSklWdFhkT0F0bGxvSUE9PQ==
  • 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

Southern Glazer's Wine & Spirits

Staff AI/ML Solution Engineer Job at Southern Glazer's Wine & Spirits

 ...opportunity, come join our FAMILY. Overview The Principal Solution Engineer is responsible for Model Development: Building, training, and...  ...Collaborate with backend and data engineering teams to deploy AI models as APIs or microservicesin production. Ensure... 

Stratas Foods

PLC Plant Programmer Job at Stratas Foods

 ...purpose of this job is to manage, maintain, and create all plant programmable control systems, assist in the analysis of current programs,...  ...computer systems. Responsibilities: Troubleshoot all current PLC and computer related processes. Create all new programs,... 

Jobot

Real Estate Attorney/Associate (4-7 years) Job at Jobot

 ...opportunity - Associates hired on to become Partners Medical/Health insurance, Dental FSA & HSA Life Insurance, Disability 401K Collaborative environment, culture of kindness One day REMOTE/WFH, could be negotiable Annual retreats and firm events;... 

Masonicare Corp

Behavioral Health CNA (NIGHT SHIFT) Job at Masonicare Corp

 ...Job Description Job Description Behavioral Health CNA (NIGHT SHIFT) Masonicare Behavioral Health Hospital - Wallingford, CT Night Shift / 24hrs/wk / EOW *This position is located on a Behavioral Health/Acute Psych Unit* This is a 50-bed state of the art... 

LAZ Parking

Healthcare Traffic Director Job at LAZ Parking

 ...Rate: $24.00/hr Hours: Part-time Schedule: Weekdays from 6am-2:30pm (weekends OFF!) The Spirit of the Position: The Traffic Director directs traffic and helps keep the flow of traffic moving on a specific route and/or direction. This position might also...