Bill Review Repricer - Level II
Location
United States
Posted
4 days ago
Salary
$18 - $21 / hour
Seniority
Entry Level
No structured requirement data.
Job Description
Bill Review Repricer - Level II
Medlogix, Llc
Title: Bill Review Repricer - Level II (Remote) Location: Remote, Remote, US Job Description: Full-Time Clerical Requisition ID: 1420 Salary Range:$18.00 To $21.00 Hourly Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve. Position: Bill Repricer Level II Location: Remote FMLA: Non-Exempt, Full-Time Schedule: M-F 8am-4:30pm General Description: Process Auto Medical and Workers Compensation Bills through various work queues based on jurisdictional and process requirements of Medlogix clients. Responsibilities: - Process and reprice auto medical claims through different system queues in “first in first out” order and making sure to keep up with client and regulatory SLAs. - Resolve bill exceptions, verify bill data (bill images against captured data) and resolve discrepancies, follow and apply claims adjuster instructions, review for medical records and flag errors to rejection queue. - Maintain communication when needed, between yourself and your supervisor - Reach a daily average quota with the amount of claims/jobs you process - Other job duties as assigned Qualifications and Experience: Required: - Excellent written and verbal communication skills - Must be process and task oriented - Computer savvy and previous experience using Microsoft Office Products - 1+ years medical coding experience – CPT, ICD - 1+ years experience in Medical Bill Repricing Preferred: - Previous experience in Auto Claim Management - Previous experience working in a fast-paced production environment EEOC STATEMENT: Medlogix is an Equal Opportunity Employer. Medlogix does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, veteran status or any other basis covered by appropriate law. We will continue to maintain our commitment to making all employment-related decisions based on the merit of each individual. Mon-Fri 8am-4:30pm
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• Drive product outcomes which solve critical business problems. • Execute strategy and tracking outcomes for a critical clinical capability. • Collaborate with business partners, users, designers and engineering to ensure solutions are achieving business objectives. • Perform story mapping exercises with your team to breakdown work for development. • Identify cross-team dependencies impacting or impacted by your product lane. • Prepare for and participate in Roadmap Planning and sprint activities. • Partner closely with our legal, compliance, security, and risk teams to ensure that we are delivering a product that meets all legal and compliance requirements. • Guide the creation of user-facing communication & education related to features & capabilities. • Partner with product leadership to refine vision and strategy for your product area. • Perform end user shadowing/conduct interviews and collaborate with our clinic, operations, provider, business stakeholders, and our design and research teams to identify and understand user problems to solve. • Identify and track OKRs for outcome-based advancements of the product. • Leverage product analytics to make informed decisions, monitor product performance, and continuously improve the product toward OKR achievement.
• Lead product initiatives through the full product lifecycle, from discovery through delivery. • Collaborate with business stakeholders, end users, designers, and engineering teams to ensure solutions align with business goals and user needs. • Facilitate story mapping and backlog refinement activities to translate product requirements into actionable development work. • Identify and manage cross-functional dependencies that impact product delivery. • Prepare for and actively participate in roadmap planning, sprint planning, and agile ceremonies. • Partner with Legal, Compliance, Security, and Risk teams to ensure products meet all regulatory and organizational requirements. • Support the development of user communications, training materials, and educational resources related to product features and capabilities. • Partner with Product Leadership to define and refine the vision, strategy, and roadmap for your product area. • Collaborate with Engineering, UX, and Research teams to conduct discovery activities that uncover user needs, pain points, and opportunities. • Work closely with UX teams to design intuitive user experiences and validate solutions through rapid feedback cycles and usability testing. • Conduct user interviews, field observations, and stakeholder engagement sessions to gain a deep understanding of customer challenges and workflows. • Collaborate with clinical, operational, provider, and business stakeholders to identify opportunities that improve user experiences and business outcomes. • Develop a strong understanding of organizational priorities and business challenges to ensure product investments deliver measurable value.
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