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

UEloVUlnUkllREtrTFN1eUEzWkpOYVpNMGc9PQ==
  • 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

Medicorp Inc

New Mexico - Hematology/Oncology - (49923) Job at Medicorp Inc

 ...minutes from both Amarillo and Lubbock, TX ~ Member of the New Mexico Cancer Care Alliance for clinical trials ~ Full benefits offered including relocation, CME allowance, paid malpractice, and more! ~ J-1 and H1B visa sponsorship available Fellowship: Skill:

Senior Helpers - Greenwood SC

Senior Caregiver, part time Job at Senior Helpers - Greenwood SC

 ...caregiver looking for consistent hours, work/life balance and to be part of an agency servicing your community look no further. Are you...  ..., where you are respected and valued? Come talk to us today. Senior Helpers is Hiring Immediately for all shifts!!Let today be the... 

Stability Healthcare

Travel Outpatient Pediatric Occupational Therapist - $2,365 per week Job at Stability Healthcare

 ...Stability Healthcare is seeking a travel Occupational Therapist for a travel job in Alpena, Michigan. Job Description & Requirements ~ Specialty: Occupational Therapist ~ Discipline: Therapy ~ Duration: 13 weeks ~40 hours per week ~ Shift: 10 hours, days... 

Reyes Coca-Cola Bottling

Lead Merchandiser Job at Reyes Coca-Cola Bottling

 ...Join the leading beverage provider, Reyes Coca-Cola Bottling! Shift: Full Time, 5am/6am start, Weekend/OT availability required...  ...part of our team! Position Responsibilities:? The Lead Merchandiser will support Merchandising Supervisors by teaching and coaching... 

Aspen Windows

Entry Level Sales - Door To Door Canvassing Job at Aspen Windows

Job Description Job Description Door To Door Canvasser: THIS IS IMPORTANT If you want to feel valued and appreciated, live with purpose, and refuse to settle for mediocrity, then your search is overyouve found what youre looking for! WHO WE NEED ...