Bill Review Complex Analyst, Risk Management - Lakeland

Knowledge of multiple state Worker’s Compensation Fee Schedules for the states in which Publix does business in. 1 year in medical or insurance services, with advanced knowledge of CPT and ICD-9 codes, and knowledge of medical terminology.

Required Qualifications

• Associate’s degree
• 1-year general office with experience with Windows based programs
• Knowledge of CPT and ICD-9 codes
• Knowledge of multiple state Worker’s Compensation Fee Schedules for the states in which Publix does business in
• Knowledge of Medical Terminology
• Initiative
• Planning and Organizing
• Stress-Tolerance
• Time Management
• Financial Acumen
• Detail Orientation
• Problem Solving
• Building Relationships
• Customer Focus
• Verbal Communication
• Written Communication
• Microsoft Word (Basic)
• Microsoft Excel (Basic)
• Microsoft PowerPoint (Basic)
• Microsoft Access (Basic)
• Availability to work weekends (rare)
• Availability to work holidays (occasional)
• Availability to work extended hours (occasional) 

Preferred Qualifications

• BS degree or certificate of completion of a medical terminology or medical billing program
• 1 year in medical or insurance services, with advanced knowledge of CPT and ICD-9 codes, and knowledge of medical terminology
• National Certification for CPT Coding
• Bilingual in English and Spanish
• Microsoft Word (Expert)
• Microsoft Excel (Advanced)
• Microsoft PowerPoint (Intermediate)
• Microsoft Access (Advanced)
• SmartAdvisor/CEPV
• ODG
• Mitchell and RMX software systems, or similar bill review software

Risk Management