A company is looking for a Bill Review Nurse Specialist, requiring an LVN / LPN / RN with experience in medical bill review.
Key Responsibilities
Analyze complex medical bills and make payment recommendations based on various guidelines and regulations
Research applicable guidelines, document recommendations, and perform coding analysis
Engage with medical providers to negotiate services and resolve bill-specific issues
Required Qualifications
US state licensed Nurse (RN, LPN, LVN)
Experience in performing bill audit reviews
3+ years of experience in complex Workers' Compensation Bill Review
Knowledge of medical terminology and coding
CPC coursework or certification is a plus
Licensed Nurse Texas • Spokane, Washington, United States