Strategic Bill Review Analyst - Workers' Compensation

The Strategic Bill Review Analyst will maximize savings for clients by accurately analyzing and processing large medical bills according to appropriate coding review, medical necessity determination, state laws and fee schedules, appropriate network contracts, client specific instructions, and company policies and procedures. This person also uses their expertise to identify ancillary product trends and deliver AR/AP reporting.
Core Responsibilities include:

+ Review and organize litigation responses. Work with various Operations teams to ensure bill review accuracy, defend Rising repricing strategies and updating processes as needed.

+ Appear as an expert witness on an as needed basis for litigated cases, hearings, depositions and fee coder affidavits.

+ Drive innovation with bill review repricing strategies ensuring workflow creation and proper documentation.

+ Drive specialty bill review repricing strategies and product development including bu...