Workers' Compensation Medical Bill Examiner

Posted:
8/26/2024, 6:47:35 AM

Location(s):
Florida, United States

Experience Level(s):
Junior ⋅ Mid Level ⋅ Senior

Field(s):
Medical, Clinical & Veterinary

Workplace Type:
Remote

Med Bill Examiner III - CJ10AN

We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.   

         

Successful candidates will be responsible for performing Medical Bill review and investigation of medical invoices to determine reimbursement based on applicable workers' compensation statues and/or regulations including:

  • Analyzing of bill for confirmation of state regulations.

  • Interpreting workers' compensation rules for repricing.

  • Entering/correcting data of medical bill information.

  • Responsible for confirming the authorization of treatment and performing any manual calculations.

  

Qualifications:

  • Medical terminology experience preferred.

  • Ability to break down complex processes and rules into manageable information.

  • Demonstrated level of competency relative to initiative, willingness to act, ability to deal with ambiguity, customer focus, composure, active listening, time management, priority setting and ability to multi-task.

  • Excellent data entry skills / requires computer literacy and strong keyboard skills.

  • Ability to meet productivity targets in a fast-paced, team-oriented environment.

  • Proficiency in Microsoft Office applications and the ability to navigate multiple systems simultaneously.

  • Strong verbal and written communication skills.

  • Ability to problem solve.

  • High School Diploma/GED is required.

Additional Information: 

  • This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Scottsdale, AZ and Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise. 

  • For full-time, occasional, part-time, or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, Wi-Fi, Hotspots, Fiber without a modem and Satellite; (2) Internet provider supplied modem/router/gateway is hardwired to the Hartford issued computer with an ethernet cable; and (3) minimum upload/download speeds of 5Mbps/30Mbps will be required. To confirm whether your Internet system has sufficient speeds, please visit http://www.speedtest.net from your personal computer.

Compensation

The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford’s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:

$41,680 - $62,520

Equal Opportunity Employer/Females/Minorities/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age

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