Bill Processor Level I

Role Overview

A Bill Processor is responsible for reviewing and correctly case assigning physical medicine bills to new or existing cases. This critical role requires the individual to evaluate and confirm compensability and eligibility on said bills to make sure that they are in compliance with our company directives, treating provider contracts, jurisdiction state rules, and client specified procedures/guidelines.

What You Will Do

Review bills to determine eligibility for processing, validate existing data for accuracy and completeness, make outbound calls to providers and clients, perform administrative duties, and provide excellent customer service.

Why It Might Be a Fit

The ideal candidate will have high school or college education, experience in the BPO (Healthcare) industry, and knowledge of the US Healthcare system, particularly with HIPAA regulations and compliance.

Requirements

• High School or College Graduate
• Experience in the BPO (Healthcare) industry preferred
• Experience handling inbound or outbound calls is a plus
• Knowledge on the US Healthcare system, particularly with HIPAA regulations and compliance
• Prior experience in medical billing or in a health-related field preferred
• Excellent verbal and written communication skills
• Proficient in MS Word and Excel and general computer literacy
• Organizational skills, prioritization, problem-solving and decision-making skills
• Ability to multi-task in a fast-paced environment
• Strong analytical and interpersonal skills