Bill Review Team Lead – Workers Compensation

EK Health Services Inc.

. Assist the medical bill review department staff daily under the direction of the BR Supervisor .

Posted 10/27/2026full-timeRemote • United StatesSenior💰 $44,000 - $46,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Workers' Compensation Bill Review, including analyzing complex medical bills and making payment recommendations. Proficient in managing and training staff while maintaining compliance with medical terminology and coding guidelines.

Highest-signal resume keywords

Workers' Compensation Bill ReviewCPT Codes KnowledgeSupervisory ExperienceCertified Professional Coding (CPC)Medical Terminology

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Bill AnalysisPayment RecommendationsTechnical Procedure InterpretationState Laws and Fee SchedulesClient Workflow Knowledge

Soft Skills

Written Communication SkillsOral Communication SkillsInterpersonal SkillsOrganizational SkillsProblem Resolution

Tools & Technologies

AhshayBilltelligentMS WordMS ExcelEmail

Certifications & Qualifications

High School DiplomaCertified Professional Coding (CPC) Coursework

Industry Keywords

Medical BillingQuality AssuranceClient Rejection ResolutionHIPAA ComplianceFast-Paced Environment

About the role

Key responsibilities & impact

Assist the medical bill review department staff daily under the direction of the BR Supervisor
Develop, train, and coach BR reviewers to build a high-performance culture
Manage daily inventory
Monitor, manage, and assign work/tasks to all bill review staff
Provide consistent performance feedback to bill review staff, no less than monthly/yearly
Assist Bill Review staff with questions
Analyze complex medical bills and make payment recommendations based on claim history, medical notes, usual and customary rates, statutory regulations, state laws and fee schedules, MPN/PPO contracts, coding guidelines, client instructions, and company policies and procedures
Maintain knowledge of client workflows and protocols
Work with management on resolution of client rejection files
Handle the client inquiry email box
Participate in quality assurance from initial receipt of bills through final payment
Communicate with medical providers to obtain information and resolve bill-specific issues
Respond to issues and drive problem resolution quickly
Participate in ongoing training
Maintain working knowledge of Ahshay and Billtelligent
Demonstrate positive behavior and lead by example
Support and assist all levels of the organization
Perform other duties as assigned

Requirements

What you’ll need

High School Diploma required
3+ 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
CPC (Certified Professional Coding) coursework or certification a big plus
Experience supervising staff members
Demonstrate the ability to manage people in a fast pace environment
Good Written and Oral Communication Skills
Good Interpersonal Skills
Good Organization Skills
Good comfort level with computers and computer programs (MS Word, MS Excel, Email)
Ability to work independently with minimal supervision
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