Texas Licensed Bill Review Nurse

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