Negotiable
Outside
Remote
albuquerque, new mexico (remote)
Summary: The Medical Bill Review Specialist is a remote position focused on the accurate entry and analysis of CMS-1500 and UB-04 medical bills. This role involves auditing charges for medical necessity, ensuring compliance with regulatory fee schedules, and detecting potential fraud or coding errors. The specialist plays a crucial role in maintaining billing accuracy in a fast-paced environment.
Key Responsibilities:
- Entry and analysis of CMS-1500 and UB-04 medical bills.
- Audit charges for medical necessity.
- Verify alignment with regulatory fee schedules.
- Identify potential fraud or coding errors.
Key Skills:
- Detail-oriented with strong analytical skills.
- Knowledge of CMS-1500 and UB-04 billing forms.
- Understanding of medical necessity and regulatory fee schedules.
- Experience in identifying fraud or coding errors.
Salary (Rate): £20 - hourly
City: Albuquerque
Country: United States
Working Arrangements: remote
IR35 Status: outside IR35
Seniority Level: undetermined
Industry: Other
We are seeking a detail-oriented Medical Bill Review Specialist for a REMOTE position. In this role, you will be responsible for the precise entry and analysis of CMS-1500 and UB-04 medical bills within the review system. You will act as a critical line of defense against billing inaccuracies by auditing charges for medical necessity, verifying alignment with regulatory fee schedules, and identifying potential fraud or coding errors. This is a fast-paced p