Crawford & Company · 3 hours ago
Billing Analyst I
United States
Full-time
Remote
Entry Level
2+ years expCrawford & Company is a global leader in claims management and is seeking a Billing Analyst I to join their team. The role involves auditing bills for accuracy, ensuring compliance with regulations, and maintaining cost control while working remotely from anywhere in the U.S.
Insurance
Responsibilities
Review and verify diagnosis codes, provider information, payer information, procedure codes and dates of service
Identify bills requiring research and assign bill notes and/or explanation codes indicating the reason for additional research. Apply bill/form type, modifiers and units when necessary. Process duplicate bills according to standard procedures
Enter bill information manually when required, calculating appropriate payment recommendation if necessary. Transfer bills that meet specific criteria; (i.e., surgical, ambulatory, etc). May consult with internal medical professionals to receive support for bill decisions to reduce legal exposure
Review and interpret relevant medical information including medical records, treatment reports, operative reports, consultation reports, diagnostic evaluations and functional capacity evaluations to accurately determine adjudication
Verify fee schedule and usual and customary rules according to state law or national guidelines. Apply advanced and/or proprietary reimbursement methodologies when appropriate
Communicate with providers, trainers and peers verbally and in written form
Meet required Quality/Production Standards while maintaining turnaround on assigned states. Ensure accurate and efficient processing; accurately report bills processed daily
May perform other duties as assigned
Qualification
Required
A high school diploma or equivalent experience is required
2 or more years work experience with CPT and ICD-9 codes or classroom experience is required
Ability to problem solve, analyze, organize and prioritize work
Strong reading comprehension, verbal and written communication skills required with Windows environment experience
Must be able to produce a high volume of quality work, be organized, multi-tasked, and prioritize work
Familiar with HFCA and UB92 forms is required
Benefits
Excellent Crawford Benefits programs that empower financial, physical, and mental wellness
Generous Employee Referral Bonus Program
Multiple Employee Discounts
Pay and incentive plans that recognize performance excellence
Benefit programs that empower financial, physical, and mental wellness
Training programs that promote continuous learning and career progression while enhancing job performance
Sustainability programs that give back to the communities in which we live and work
A culture of respect, collaboration, entrepreneurial spirit and inclusion
Company
Crawford & Company
Based in Atlanta, GA Crawford & Company(R) (www.crawco.com) is the world's largest publicly listed independent provider of claims management and outsourcing solutions to carriers, brokers and corporates, with an expansive global network serving clients in more than 70 countries.
10001+ employees
H1B Sponsorship
Crawford & Company has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2024 (2)
2023 (7)
2022 (5)
2021 (2)
2020 (10)
Funding
Current Stage
Late StageLeadership Team
Larry Thomas
EVP - CEO Crawford U.S. Services
Bruce Swain
EVP - Chief Financial Officer
Recent News
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