RanchoCordovaRecruiter Since 2001
the smart solution for Rancho Cordova jobs

Medical Bill Processor

Company: Sedgwick
Location: Rancho Cordova
Posted on: November 22, 2021

Job Description:

The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option. Medical Bill Processor IF YOU CARE, THERES A PLACE FOR YOU HERE For a career path that is both challenging and rewarding, join Sedgwicks talented team of 27,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance. Our clients depend on our talented colleagues to take care of their most valuable assetstheir employees, their customers and their property. At Sedgwick, caring counts. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others Sedgwicks bill review services are part of a customized solution for clients that ensures medical bills are paid timely and at the appropriate cost. Our utilization review (UR) nurses and bill reviewers look for all possible savings and use the most accurate re-pricing system available to make sure bills are paid appropriately based on state rules and regulations, UR treatment plans, clinical edits and other applicable reductions. 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. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing High School diploma or GED required. Experience One (1) year of general office experience or equivalent combination of education and 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, troubleshooting, problem solving, analysis, 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 is an Equal Opportunity Employer and a Drug-Free Workplace.

Keywords: Sedgwick, Rancho Cordova , Medical Bill Processor, Healthcare , Rancho Cordova, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Rancho Cordova RSS job feeds