WHAT WE'RE LOOKING FOR

The Medical Bill Review Specialist processes and reviews medical bills, including ensuring the completeness of the bill and the supporting documentation, prior to review by a Medical Bill Review Analyst.

ESSENTIAL RESPONSIBILITIES

Initiate bill review process and accurately identify data from claim information.
Manage all the copy service, interpreter, transportation, and other non-medical bill reviews.
Efficiently review medical bills and reports for accuracy and completeness.
Identify and enforce jurisdictional regulatory billing standards and Company standards.
Examine bills for legibility and take appropriate action to ensure accuracy of documentation.
Issue appropriate correspondence to billing entities in accordance with Company and regulatory standards.
Proactively communicate to the supervisor any problems or issues that may adversely impact a client or the Company.
Ensure work is performed in accordance with Company standards, training, and supervisory direction.
Provide administrative support and additional duties as directed.
Foster a positive and close working relationship with other Company staff, including the claims staff, medical bill review, nurse case management, special investigations, legal, liens, the call center, and client services.

REQUIRED QUALIFICATIONS

Education and Experience: Associate’s degree from an accredited college or technical school preferred; or at least six months of relevant experience and training; or an equivalent combination of education and experience.
Math Ability: Able to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Able to compute rate, ratio, and percent.
Computer Skills: Knowledge of Microsoft Office software. Able to quickly master proprietary and vended software applications.
Healthcare experience is a plus.

WHAT WE OFFER

Work-Life Balance
Work From Home Program (up to 2 days per week)
Office Within Walking Distance of The Old Market
Free On-Site Fitness Facility
Garage Parking

BENEFITS

Paid Time Off
Paid Holidays
Retirement Savings Match
Group Health Insurance (Medical, Dental, and Vision)
Life and AD&D Insurance
Long Term Disability Insurance
Accident and Critical Illness Insurance
Flexible Savings Accounts
Paid Community Volunteer Day
Employee Assistance Program
Tuition Reimbursement Program
Employee Referral Program
Diversity, Equity and Inclusion Program

ABOUT US

With more than 50 years in business, BHHC has grown from a regional organization to a national insurance group, offering insurance products from coast to coast. Relationships are the cornerstone of our culture, and we believe in doing the right thing. That means we invest in our business in every way possible to deliver on our mission and demonstrate that people are what powers our success. Our commitment to financial strength and integrity means our customers can rest assured that we will be there when it counts.

At BHHC we embrace diversity and foster an environment where our people can be their authentic selves. Our differences make us stronger and better together, which fosters a harmonious workplace—something we truly value. We’ve created an approachable and collaborative atmosphere. Here you’ll find a welcoming workplace where everyone can feel valued, supported, and inspired to do great work. Together, we raise the bar by being curious, remaining customer-focused, and operating with integrity.

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Berkshire Hathaway Homestate Company

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Medical Bill Review Specialist