Medical Bill Reviewer I

Responsibilities

• As a Medical Bill Reviewer I, you'll perform a review of medical bills submitted into our Personal Injury Protection department to ensure correct billing and payment practices. Additionally, you'll:
• R eview, evaluate, and process Personal Injury Protection (PIP) medical bills
• U tilize knowledge of medical coding requirements; including CPT/HCPCS/Revenue codes, ICD-9/ICD-10 coding, and CMS-1500/UB-04 forms to process and pay PIP medical bills
• F ollow established state and federal medical bill review rules and regulations
• C ommunicate with medical providers regarding payment or denial of payment
• P erform well in a production-based environment regarding timely and accurate processing of PIP medical bills
• P rovide superior customer service while connecting with medical providers, vendors, and internal customer inquiries relating to medical bill processing
• What it Takes
• T echnical diploma or equivalent work experience
• A ssociate Degree in Health Informatics/Health Information/Medical Coding preferred
• 1 -3 years of related work experience in a medical office, insurance environment, or medical coding beneficial
• B asic knowledge of ICD9/ICD10, CPT, HCPCS codes necessary for accurate processing
• P C knowledge including Excel as well as keyboarding, math aptitude, and organizational skills
• P roficient analytical and decision-making skills with the ability to work independently
• H igh level of communication, customer service, and telephone skills required
• A bility to work within deadlines, maintain confidentiality, and work with detail and a high level of accuracy is essential
• What You'll Receiv e
• At Sentry, your total rewards go beyond competitive compensation. Below are some benefits and perks that you'll receive.
• Sentry is happy to offer flexibility through a scheduled Hybrid work model. Monday and Friday work from home if you choose to, Tuesday through Thursday you'll work in office .
• As a Sentry associate, you will have an in-office workspace and materials for your home office. In addition to the laptop, you will receive prior to your start, Sentry will provide equipment for your home office.
• Meal Subsidy available for associates who report to an office.
• 401(K) plan with a dollar for dollar match on your first eight percent, plus immediate vesting to help strengthen your financial future.
• Continue your education and career development through Sentry University (SentryU) and utilize our Tuition Reimbursement program
• Generous Paid-Time Off plan for you to enjoy time out of the office as well as Volunteer-Time off
• Group Medical, Dental, Vision, Life insurance, Parental leave, and our Health and Wellness benefits to encourage a healthy lifestyle.
• Well-being and Employee Assistance programs
• Sentry Foundation gift matching program to encourage charitable giving.
• About Sentry
• We take great pride in making Forbes' list of America's Best Midsize Employers. A lot of different factors go into that honor, many of which contribute to your job satisfaction.
• Our headquarters is in Stevens Point, Wisconsin, with offices located throughout the United States. From sales to claims, and information technology to marketing, we enjoy a rewarding and challenging work environment with opportunities for ongoing professional development and growth.
• Get ready to own your future at Sentry. Opportunities await!
• Talent Acquisition Specialist
• Shea Supa
• Equal Employment Opportunity
• Sentry is an Equal Opportunity Employer. It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation.

Benefits

Additional Information

Join our Medical Bill Reviewing team and ensure accurate processing of wage loss/medical claims data by applying laws and regulations; handle routine bills and escalate complex issues

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