Bill Review Analyst

EK Health is looking for Bill Review Analyst. Check out the position requirements below.

Description

EK Health has an opening as a Bill Review Analyst!

Under the direction of the Manager of Compliance and Regulations the Bill Review Analyst position is responsible for researching and updating fee schedule regulation requirements, communicating those requirements to business units and testing those requirements/elements for our business related systems.

Candidates must have experience with Workers Compensation Bill Review.

Position specifics: Exempt position, working remotely

The job responsibilities will include, but are not limited to:

Work closely with the Manager of Compliance regarding new and existing regulations

Interpret existing regulatory regulations or fee schedule regulations as they relate to the company business

Understand and communicate regulatory compliance with system requirements to our technology team

Provide fee schedule guidance and compliance support to project and product teams

Create/update and review compliance protocols and regulatory materials as needed

Reviews all specific details of state fee schedule regulations, billing codes, and reimbursement guidelines

Develop and distribute compliance information to the appropriate business units

Review validation edits, special audits, testing, and assignments as needed regarding state rules and fee schedule regulations

Other duties as assignedRequirements

BS preferred in related field

5+ years of experience in workers’ compensation

Ability to read, analyze and interpret regulations with developers/ programmers

Experience of documenting the regulations and validating the procedures and guidelines are performing as expected.

Demonstrated ability to organize and plan complex tasks

Excellent Written and Oral Communication Skills

Excellent Interpersonal Skills

Strong Organization Skills

High comfort level with computers and computer programs (MS Word, MS Excel, Email)

Ability to work independently with minimal supervision

Ability to meet deadlines in a high pressure, time sensitive environment

Ability to lift up to 20 lbs

Sit (approx. 75-100% of the time), stand (approx. 0-25% of the time), type (approx. 75-100% of the time) and do the job with or without reasonable accommodation.

EK Health Services has built a reputation for offering superior, goal-oriented Workers’ Compensation case management, utilization review, and bill review services. Our emphasis on medical excellence, superior service, impartial reporting, and case resolution is the driving force behind our consistent annual growth.

Employees are provided with competitive compensation and benefits, including but not limited to medical, dental, vision, PTO, and 401k. 

APPLY HERE