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

ZWIvYjFxaXJZVXBJYTdqMXpIdGxMb0tqeWc9PQ==
  • 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

Remote work,

Similar Jobs

Centene

SIU Investigator Job at Centene

 ...organization, youll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations... 

Insight 2 Design

Industrial Designer Job at Insight 2 Design

 ...Industrial Designer Outdoor Gear Location: Greater Kansas City Area (Full-Time) We're looking for a full-time Industrial Designer specializing in Softgoods for Camping and Outdoor Gear to join our team in the greater Kansas City area. In this role, youll help... 

WSP in the U.S.

Lead Consultant, Geology Job at WSP in the U.S.

 ...Lead Consultant, Geology WSP in the U.S. WSP is initiating a search for a Lead Consultant, Geologist to work in our Valhalla,...  ...collection methods for extracting, identifying, and compiling environmental data from soil sampling, soil gas sampling, groundwater sampling... 

PandoLogic

PMR Medical Director - $100,000 Stipend Job at PandoLogic

Opportunity Highlights Role Focus: This is a Medical Directorship in Physical Medicine & Rehabilitationdesigned for physicians ready to lead clinical strategy and operations. Directorship Stipend: Receive a $100,000 annual stipend in addition to compensation...

Impact Recruiting Solutions

Licensed Land Surveyor Job at Impact Recruiting Solutions

 ...Licensed Land Surveyor - New Bern, NC (#F0013). Location: New Bern, NC. Employment Type: Full-Time. About Impact Recruiting Solutions: Impact Recruiting Solutions is a dedicated recruitment partner connecting skilled professionals with rewarding opportunities...