Bill Review Specialist – Workers Compensation

EK Health Services Inc.

. Accurately and appropriately analyze complex medical bills and make payment recommendations based on claim history, medical notes, usual and customary rates (UCR), statutory regulations including state laws and fee schedules, available MPN/PPO contracts, coding guidelines, client instructions, and company policies and procedures .

Posted 10/23/2026full-timeRemote • Arizona • United StatesJuniorMid-Level💰 $18 - $22 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in analyzing complex medical bills, applying knowledge of medical terminology, CPT codes, and DRG, while ensuring compliance with state laws and fee schedules. Strong communication and organizational skills are essential for effective client and provider interactions.

Highest-signal resume keywords

Complex Workers' Compensation Bill Review ExperienceKnowledge Of Medical TerminologyCPT Codes And DRG ProficiencyCPC Certification Or CourseworkExcellent Written And Oral Communication Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Medical Billing AnalysisPayment RecommendationsQuality Assurance ProcessMedical Billing Code VerificationTechnical Procedure Interpretation

Soft Skills

Strong Organization SkillsInterpersonal SkillsAbility To Meet DeadlinesProfessional Communication

Tools & Technologies

MS WordMS ExcelEmail

Certifications & Qualifications

CPC Certification

Industry Keywords

Medical BillsUsual And Customary Rates (UCR)Statutory RegulationsFee SchedulesHome Office HIPAA Compliance

About the role

Key responsibilities & impact

Accurately and appropriately analyze complex medical bills and make payment recommendations based on claim history, medical notes, usual and customary rates (UCR), statutory regulations including state laws and fee schedules, available MPN/PPO contracts, coding guidelines, client instructions, and company policies and procedures
Review and verify the correct use of medical billing codes and report improper use of billing codes to the BR Manager
Participate in the quality assurance (QA) process from initial receipt of bills through final payment
Protect system integrity by monitoring and correcting duplications and inaccurate/outdated data
Communicate with medical providers to obtain needed information and resolve bill-specific issues
Communicate directly with clients, responding to and answering questions quickly and professionally
Participate in ongoing training to enhance job skills and knowledge
Perform other duties as assigned
Report to the Bill Review Supervisor
Work remotely Monday through Friday, 7am–4pm local time

Requirements

What you’ll need

High School Diploma required; some college or college degree preferred
2+ years of experience in complex Workers' Compensation Bill Review with customer service exposure
Knowledge of medical terminology, CPT codes, and DRG
Ability to read, analyze, and interpret technical procedures, medical reports, state laws and fee schedules
Hospital Bill Review experience a plus
CPC (Certified Professional Coding) coursework or certification a big plus
Excellent Written and Oral Communication & Interpersonal Skills
Strong Organization Skills
High comfort level with computers and computer programs (MS Word, MS Excel, Email)
Ability to meet deadlines in a high pressure, time sensitive environment
Ability to lift up to 20 lbs.
Candidate must be able to sit the majority of an 8-hour day except for lunch and break times
Candidate must be able to keyboard the majority of an 8-hour day except for lunch and break times
Candidate must have manual dexterity
Candidate must be able to speak on the telephone intermittently throughout the day
Candidate must be able to read and write English fluently
Candidate must be able to provide and confirm safe home office environment
Home office must be HIPAA compliant
Requires DSL, fiber, or cable internet connection from home; 100 Mbps preferred or better

Benefits

Comp & perks

Medical, Dental and Vision Insurance
401K
Paid Time Off
Paid Holidays
Monthly internet stipend
Equipment provided