Bill Review Negotiation Specialist
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Job Location:
Dallas, IA - USA
Monthly Salary:
USD 20 - 22
Posted on:
16 hours ago
Vacancies:
1 Vacancy
Job Summary
ABOUT US:
Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space and our success is driven by a dynamic team passionate about delivering exceptional services to our customers.
JOB SUMMARY:
Our dynamic Ethos Medical Management Team is growing and seeking a full-time Bill Review Negotiation Specialist (REMOTE) to ensure accuracy and cost savings within our Workers Compensation bill review process. This position is responsible for reviewing auditing and negotiating medical bills in compliance with state fee schedules and customer guidelines. The ideal candidate is detail-oriented skilled in negotiations and committed to providing excellent customer service while maintaining confidentiality and accuracy.
KEY RESPONSIBILITIES:
- Contact and negotiate with medical providers to secure additional savings through signed agreements.
- Review audit and process Workers Compensation medical bills using industry-standard methodologies (Medicare UCR and state fee schedules).
- Maintain accurate records of negotiations and provider interactions.
- Research and interpret state fee schedules customer guidelines and regulations.
- Process reconsiderations and disputed bills in a timely and accurate manner.
- Provide high-quality customer service and resolve inquiries efficiently.
- Maintain strict confidentiality and compliance with company policies and industry regulations.
- Perform other related duties as assigned.
QUALIFICATIONS:
Education: High school diploma or equivalent required. Associate degree or higher preferred.
Experience:
- Minimum of 3 to 5 years of experience in medical bill review with a minimum of 1 year of experience in customer service required. An equivalent combination of education and experience is required.
- Knowledge of CPT ICD-10 and HCPCS coding required.
- Experience with Conduent Strataware software or other comparable platforms preferred.
Skills:
- Strong oral and written communication skills.
- Proven negotiation and customer service abilities.
- Proficient with Microsoft Office Suite and other computer applications.
- Excellent organizational skills with the ability to multi-task.
- Team player with strong interpersonal skills.
- Discretion confidentiality and attention to detail.
Licensing/Certification:
- Certification in medical coding or medical terminology preferred but not required.
WORKING CONDITIONS:
This position is 100% remote with required availability during standard business hours. This role requires a dedicated workspace with reliable internet. The role involves prolonged periods of sitting operating a computer and communicating via phone and email.
Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed sex national origin race veteran status disability age marital status color or sexual orientation or any other characteristics.
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
Verify Your Claims With Absolute Certainty Verification is tough when you can’t be sure. Speed up your resolution with accurate and actionable insights. Talk to Us Assign a Case More Coverage All 50 states & 80+ countries. Get the results and help you need no matter where your claim t ... View more
