Bill Review Associate I
About Us
Helpware is a technology-driven company with offices in the USA, Ukraine, Mexico, and the Philippines which provides Customer Experience & Operational Support for modern companies. Our team of professionals is driven by the purpose of providing best-in-class value-adding services to our partners by leveraging our empowered teams, innovative solutions, and technologies.
CompIQ Solutions is a market leader in the Workers Compensation Medical Bill Review software industry. They have served the market and their loyal client base for over 20 years now. They focus exclusively on licensing their proprietary software platform to their clients in a Software-as-a-Service model.
Role and Responsibilities:
Encodes medical bills such as pharmacy, physical therapy, pathology, radiology, DME, anesthesia, med-legal, and other bills using IQ Review System.
Meet daily production quotas in analyzing and processing medical bills with prevailing fee schedule/UCR guidelines. Select proper PPO network based on client instructions.
Add or update Provider and Claim information as appropriate.
Know how to follow client instructions and other training material to properly review medical bills.
Provide quality review on work as specified by the Supervisor.
Proactively identify system and/or bill review issues and provide feedback to supervisors or managers.
Other duties assigned.
Qualifications:
Must be able to work full time, 40 hrs per week
At least 2 years college level or higher
Able to work at any shift schedule.
Ability to work in a high production environment while meeting productivity and quality standards.
Has knowledge in Microsoft Word and Excel
Has knowledge in Medical Terminology such as CPT / ICD-9 / ICD-10 coding
CA Experienced Medical Bill Reviewer Designation is a plus
Proficiency with 10-Key by touch. Some typing ability.
