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

WDZ5WG1Vdm54dkwwYTNtWEE5MjB2NUhoTUE9PQ==
  • 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

Hourly pay, Remote work,

Similar Jobs

FatCat Strategies

Digital Marketing Intern Job at FatCat Strategies

 ...the "real world"? Do you want to add a paid internship with a marketing agency to your resume? If you said "yes" to that and you...  .... We are proud to be located in Raleigh, NC. This is a part-time, on-site internship, so you must live near Raleigh, NC. No... 

SMART1 MANAGEMENT SOLUTIONS

Air Traffic Controller Ins II - DAB Job at SMART1 MANAGEMENT SOLUTIONS

 ...to solve their challenges and deliver solutions that generate the most value. We are looking for an experienced Full-Time Air Traffic Control Instructor II ( Terminal Radar Tower and TRACON) to join our Controller Training Solutions (CTS) team, partnering with SAIC... 

Providence

RN - Interventional Radiology Days Job at Providence

 ...RN Interventional Radiology Full Time Day Shift The RN independently uses the...  ...specified departments basic respiratory, phlebotomy, cardiology, clerical, food service, and...  ...caregiver, youll apply your specialized training to deliver world-class health with human... 

ManTech

Cyber Network Defense Analyst Job at ManTech

 ...ManTech seeks a motivated, career and customer-oriented Cyber Network Defense Analyst in Herndon, VA . As a CND Analyst on our team, you will use your expertise in specialized network defense to provide innovative and creative solutions to challenging cyber... 

Jobot

Senior Litigation Attorney / Of Counsel Job at Jobot

 ...Outstanding bonus/incentive plan Job Details We are seeking a highly skilled and motivated Senior Litigation Associate Attorney or Of Counsel to join our dynamic legal team. This is a permanent position that offers excellent growth potential. Responsibilities...