This position will support the review and processing of workers’ compensation medical bills, ensuring charges are accurately evaluated and processed according to applicable guidelines. The ideal candidate will have prior workers’ compensation medical bill review experience and a strong understanding of medical coding, billing practices, and state-specific reimbursement requirements.
Numbers & Facts
Location
California
Website
https://www.thekingstaffing.com
Description
Our client is seeking an experienced Workers’ Compensation Medical Bill Review Specialist to join their California team on a temporary basis. This position will support the review and processing of workers’ compensation medical bills, ensuring charges are accurately evaluated and processed according to applicable guidelines. The ideal candidate will have prior workers’ compensation medical bill review experience and a strong understanding of medical coding, billing practices, and state-specific reimbursement requirements.
Responsibilities:
Review workers’ compensation medical bills for accuracy and appropriate reimbursement
Evaluate medical charges using applicable state fee schedules and billing guidelines
Review procedure and diagnosis codes to ensure accurate processing
Identify billing discrepancies, coding issues, and charges requiring additional review
Process bills and related documentation within established turnaround times
Maintain accurate claim and billing information within internal systems
Communicate with internal teams and medical providers regarding billing questions or discrepancies
Ensure medical bills are processed in accordance with workers’ compensation requirements and internal procedures
Qualifications:
2-4+ years experience with Workers’ Compensation medical bill review