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Medlogix · 3 days ago

Bill Repricer - Level III (REMOTE in EST OR CST time zone)

United States

Full-time

Remote

Entry, Mid Level

$24/hr - $25/hr

1+ years exp

Medlogix, LLC delivers innovative medical claims solutions and is seeking a Bill Repricer - Level III. The role involves processing auto medical and workers compensation bills while ensuring quality control and adherence to client and regulatory SLAs.

BillingHealth InsuranceInsuranceInsurTechMedical

Responsibilities

Process and reprice complex (e.g. coordination of benefits; lien processing; quality control) auto medical claims through different system queues in “first in first out” order and making sure to keep up with client and regulatory SLAs

Review of lower level bill repricing staff to ensure quality of review as well as areas of improvement

Handling of complex claim messages and bill reconsiderations

Review and adjudication of complex medical bill review processes in key jurisdictions such as New York, Michigan and Florida

Maintain communication when needed, between yourself and your supervisor

Reach a daily average quota with the amount of claims/jobs you process

Coverage for lower level bill repricing staff when needed

Other job duties as assigned