Homeoffice CompIQ Solutions - Medical Bill Review Analyst en CompIQ Solutions

Who we are…

CompIQ Solutions is a software and full-service provider focusing on the property and casualty medical bill review market. We provide an end-to-end solution for our clients leveraging our proprietary technology and software platforms in the delivery of our solutions and services. We focus our efforts on our three key stakeholders, in this order: 1) Clients; 2) Colleagues; 3) Company.

About this Role

The Medical Bill Review Analyst supports the service delivery operations team. There are multiple internal level(s) of Bill Review Analyst(s) depending on the capabilities of each candidate based upon candidates’ level of experience, background, and subject matter expertise. The foundation of the role is to support payment integrity through accurate data entry and reviewing payment recommendations against fee schedule rules/guidelines and established client-specific business rules. 

Duties and Responsibilities:

• Reviews medical bills for appropriate, necessary, and any applicable unrelated charges.
• Reviews payment recommendations against applicable fee schedule allowances, regulatory or administrative charges, coding, and identifies billing errors to determine if fraud or inaccurate billing.
• Performs bill review functions in compliance with established client-specific rules and workflows that may change from time to time.  
• Assists in the development and implementation of new audit/review methodologies to identify overpayments and underpayments to providers. 
• Applies knowledge of provider billing and patient accounting practices to the research of client policy and data to reveal new overpayment recovery opportunities. 
• Ensures productivity goals are met daily. 
• Communicates audit and review issues and results to supervisors and managers.
• Performs other duties as assigned by supervisors and managers.
• Complies with all company guidelines, code of conduct, policies, and standards. 

Required Qualifications:

• High School Diploma / GED (or higher)
• 5+ years of experience with processing Workers Compensation bills
• Intermediate proficiency with Microsoft Word, Microsoft Excel and Microsoft Outlook
• Advanced knowledge in Workers Compensation rules/regulations
• Ability to prioritize and balance multiple priorities and projects
• Ability to identify, understand, and drive resolution of complex critical issues
• Ability to communicate ideas clearly and concisely to leadership (Lead, Director, and VP where appropriate) and technical teams

Preferred Qualifications:

• Bachelor's degree in Business, Health Administration, or related field
• Associate degree in medical coding or related field preferred but not required.
• Certified Professional Coding (CPC) License
• Medical Billing experience
• Intermediate proficiency with Microsoft Word, Microsoft Excel and Microsoft Outlook

Soft Skills:

• Excellent oral and written communication skills 
• Excellent analytical and problem-solving skills 

What We Offer

CompIQ Solutions provides our full-time, regular team members with the below benefits: 

• Fair and Competitive Salary 
• Flexible schedule in a hybrid or remote-work environment (depending on location) 
• Flexible Paid Time Off
• Paid Parental Leave
• Tuition Reimbursement
• Identity Theft Protection
• Medical, Dental, and Vision Insurance 
• 100% Company-paid Short-Term and Long-Term Disability
• 100% Company-paid Life Insurance with additional voluntary enrollment options
• Employee Assistance Programs including counseling with up to 6 complimentary sessions
• Monthly Wellness (Gym Membership) Stipend 
• Health Spending Account (HSA) and Flexible Spending Account (FSA) Programs 
• 401(k) Plan with a 100% vested company match 
• Career development and growth opportunities 

How to Apply

Interested? Please apply directly via our website at: https://compiqsolutions.com/careers/ 

CompIQ Solutions is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. EOE/M/F/D/V