Medical Bill Review Analyst II
York Risk Services Group Inc. - Dublin, OH

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Job duties for this position center on the ability to provide payment recommendations for the billings from medical providers for medically related services delivered to worker’s injured on the job.

Required Skills
  • Confirm claimant and health care provider information
  • Confirm diagnosis between medical bills and claims data
  • Confirm and apply utilization review authorization/denial when applicable
  • Utilize and interpret supporting documentation attached to medical billings from providers (reports, etc.)
  • Determine reasonable reimbursement by application of OMFS rules, regulations and guidelines
Required Experience EDUCATION:
  • BS / BA or Equivalent Work Experience

  • 1 to 3 years

  • Strong comprehension and analytical skills
  • Ability to multi-task – based on the review types
  • Ability to think outside the box
  • Official Medical Fee Schedule
  • CPT Codes (Current Procedural Terminology)
  • Medical Terminology

About this company
York Risk Services Group is a premier provider of a full range of insurance, risk management, pool administration, claims management, and...