Medical Bill Processor (Remote) 2023-1284

Job Details

Medical Bill Processor (Remote) 2023-1284

Dublin, OH, USA

NPN Operations

Full Time

Description

Remote Medical Bill Processor - Nation-Wide Position

IF YOU CARE, THERE’S A PLACE FOR YOU HERE

Overview

Are you looking to make a difference by providing appropriate and timely medical bill reviews for members of the World Trade Center Health Program, including survivors and the brave responders impacted by the September 11th terrorist attacks? Would you like to be part of a talented team of bill processors and utilization review nurses and join our team of energetic and caring people?

As a Sedgwick Government Solutions remote Medical Bill Processor, you will work from your home office, and ensure World Trade Center Health Program members’ medical claims are paid timely and in accordance with Program Regulations and Guidelines. You will work with utilization review (UR) nurses to identify the most appropriate treatment based on industry standards and Program-related conditions. In this process, you will use our proprietary claims processing system containing clinical edits.

Remote Bill Processor Responsibilities

• Identifies and escalates complex bills per documented guidelines.
• Codes provider bills in accordance with claims management system notes and program guidelines
• Keys pre-coded billing data into the system.
• Compares provider network status and qualifications with service provided.
• Performs other duties as assigned.
• Supports the organization's quality program(s).

Remote Bill Processor Qualifications

• High School diploma or GED required.
• Excellent oral and written communication
• PC literate, including Microsoft Office products
• Strong organizational skills
• Analytical and interpretive skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies
• One (1) year of general office experience or equivalent combination of education and experience required. Knowledge of medical terminology is preferred. Prior medical bill review preferred.
• Good interpersonal skills

For a career path that is both challenging and rewarding, join Sedgwick Government Solution’s talented team. Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees, and their customers. At Sedgwick Government Solutions, caring counts®. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others

In addition to a competitive salary, comprehensive health and welfare benefits, and incentive compensation, Sedgwick Government Solutions offers participation and vesting in a 401(k) plan with a company match. If you would like to contribute to our important mission and work collegially in a professional organization that values intelligence, integrity, and initiative, consider a career with Sedgwick Government Solutions.

To be considered for this position, please submit a resume, and complete the application.

The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required.

Important Information

Successful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire.

Search Firm Representatives

Please be advised that Sedgwick Government Solutions (Government Solutions) is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in place before any resumes are submitted to Government Solutions. All resumes submitted by search firms to any employee at Government Solutions without a valid written agreement and task order in place will be deemed the sole property of Government Solutions and no fee will be paid in the event that person is hired by Government Solutions.

Government Solutions strives to make our career site accessible to all users. If you need a disability-related accommodation for completing the application process, please contact Government Solutions regarding accommodations.

Sedgwick Government Solutions is an Equal Opportunity and Affirmative Action Employer

All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person’s relatives, friends or associates.

Sedgwick Government Solutions abides by the requirements of 41 CFR 60-741.5(a) (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf) . This regulation prohibits discrimination against qualified individuals on the basis of disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities.

Sedgwick Government Solutions abides by the requirements of 41 CFR 60-300.5(a) (http://www1.eeoc.gov/employers/upload/eeoc_gina_supplement.pdf) . This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans.

About Sedgwick

Sedgwick Government Solutions is a fully owned subsidiary of Sedgwick. Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. The company provides a broad range of resources tailored to clients’ specific needs in casualty, property, marine, benefits, and other lines. At Sedgwick, caring counts; through the dedication and expertise of more than 27,000 colleagues across 65 countries, the company takes care of people and organizations by mitigating and reducing risks and losses, promoting health and productivity, protecting brand reputations, and containing costs that can impact the bottom line. www.sedgwick.com