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Expense Bill Reviewer I - Bill Review Provider Service
at Sedgwick CMS in Ohio
Expense Bill Reviewer I
CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been voted the Best TPA in America for 2005 and 2006, and the first and only Third Party Administrator to receive the coveted Employer of Choice designation. Come be a part of our team and "Claim Your Future."
PRIMARY PURPOSE:
To code provider bills; to enter pre-coded billing data into the system; and to verify the output.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Keys pre-coded billing data into the system.
Identifies and forwards complex bills to claims examiners.
Codes provider bills in accordance with claims management system notes and state guidelines.
Follows workers compensation / auto guidelines to evaluate the services.
Compares qualifications of service provider with service provided.
Involved in system maintenance / file maintenance and interface with IT department.
Assists in account batching and distribution of incoming and outgoing mail.
Answers customer service calls from providers, clients and claims examiners.
Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing
High school diploma or GED required.
Experience
One (1) year general office experience required. Knowledge of medical terminology preferred.
Skills & Knowledge
Excellent oral and written communication
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Good interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick CMS is an Equal Opportunity Employer
and a
Drug-Free Workplace
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://sedgwickcms.contacthr.com/16282395
CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been voted the Best TPA in America for 2005 and 2006, and the first and only Third Party Administrator to receive the coveted Employer of Choice designation. Come be a part of our team and "Claim Your Future."
PRIMARY PURPOSE:
To code provider bills; to enter pre-coded billing data into the system; and to verify the output.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Keys pre-coded billing data into the system.
Identifies and forwards complex bills to claims examiners.
Codes provider bills in accordance with claims management system notes and state guidelines.
Follows workers compensation / auto guidelines to evaluate the services.
Compares qualifications of service provider with service provided.
Involved in system maintenance / file maintenance and interface with IT department.
Assists in account batching and distribution of incoming and outgoing mail.
Answers customer service calls from providers, clients and claims examiners.
Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing
High school diploma or GED required.
Experience
One (1) year general office experience required. Knowledge of medical terminology preferred.
Skills & Knowledge
Excellent oral and written communication
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Good interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick CMS is an Equal Opportunity Employer
and a
Drug-Free Workplace
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://sedgwickcms.contacthr.com/16282395
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Published on Jun 15, 2010
Viewed: 190 times
Viewed: 190 times
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