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Medical Bill Specialist – Workers Compensation
Berkshire Hathaway Homestate Companies - Workers Compensation Division. Initiates the bill review process and accurately identifies data from claim information .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in medical bill review processes, ensuring accuracy and compliance with regulatory standards while fostering effective communication and collaboration with various departments.
Highest-signal resume keywords
Medical Bill ReviewRegulatory Billing StandardsMicrosoft Office/365 ProficiencyAttention to DetailExcellent Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data IdentificationMedical Records ReviewCalculating FiguresDocumentation AccuracyClaim Data Analysis
Soft Skills
Interpersonal SkillsTeam PlayerResults Oriented
Tools & Technologies
Proprietary SoftwareVendor Software
Certifications & Qualifications
High School Diploma or Equivalent
Industry Keywords
Billing EntitiesAdjusting StaffMedical ManagementSpecial Investigations UnitClient Services
About the role
Key responsibilities & impact- Initiates the bill review process and accurately identifies data from claim information
- Efficiently reviews medical bills and reports for accuracy and completeness
- Identifies and enforces jurisdictional regulatory billing standards and Company standards
- Examines bills for legibility and takes appropriate action to ensure documentation accuracy
- Issues appropriate correspondence to billing entities in accordance with Company and regulatory standards
- Communicates problems or issues to the Medical Bill Review Supervisor
- Performs work according to Company standards, training, and supervisory direction
- Provides administrative support and additional duties as directed
- Fosters working relationships with Adjusting staff, Medical Management staff, Special Investigations Unit, Legal, Lien Unit, Customer Care, and Client Services
Requirements
What you’ll need- High school diploma or equivalent certificate required
- A minimum of six months of relevant experience and/or training, or equivalent combination of education and experience required
- Ability to read and understand basic documents, including medical records, medical bills, claim notes, and claim data fields
- Ability to calculate figures and amounts, such as discounts, interest, proportions, percentages, sums, differences, products and volumes
- Ability to effectively use Microsoft Office/365 applications and become proficient in proprietary and vendor software programs
- Attention to Detail
- Excellent Communication and Interpersonal Skills
- Team Player
- Results Oriented
Benefits
Comp & perks- Work-Life Balance
- Work From Home Program (up to 2 days per week upon eligibility)
- Free On-Site Fitness Facility
- Free On-Site Garage Parking
- Paid Time Off
- Paid Holidays
- Retirements Savings Match
- Group Health Insurance (Medical, Dental, and Vision)
- Life and AD&D Insurance
- Long Term Disability Insurance
- Paid Community Volunteer Day
- Employee Assistance Program
- Tuition Reimbursement Program
- Employee Referral Program
- Diversity, Equity and Inclusion Program