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Senior Medical Bill Examiner
The Hartford. Accurately review, analyze, and adjudicate complex medical bills .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing practices, coding standards, and regulatory requirements, with a strong focus on accuracy and efficiency in processing complex medical bills. Proficient in analyzing and adjudicating medical invoices while maintaining effective communication with medical providers.
Highest-signal resume keywords
Certified Professional Coder (CPC)Medical Coding (CPT, HCPCS, ICD)Medical Bill ReviewAnalytical SkillsData Entry 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
Medical Billing PracticesMedical Coding StandardsFee SchedulesRegulatory RequirementsWorkers Compensation RulesComplex Billing ScenariosMedical TerminologyAdjudication of Medical BillsDocumentation DisciplineReimbursement Analysis
Soft Skills
Effective Communication SkillsCritical-Thinking SkillsInvestigative SkillsIndependent Work ManagementAttention to Detail
Certifications & Qualifications
Certified Coding Designation
Industry Keywords
Medical BillingWorkers CompensationAmerican Medical AssociationMedical DocumentationBilling Regulations
About the role
Key responsibilities & impact- Accurately review, analyze, and adjudicate complex medical bills
- Perform medical bill review from a coding perspective
- Investigate medical invoices to determine reimbursement under applicable workers compensation statutes and regulations
- Analyze bills for proper assignment of detailed medical coding information
- Interpret workers compensation rules for repricing
- Enter and correct medical bill information
- Ensure accurate billing per the American Medical Association
- Review medical documentation to support billing
- Discuss coding with medical providers
- Apply advanced knowledge of medical billing practices, coding standards, fee schedules, and regulatory requirements
- Maintain strong documentation discipline
- Handle complex or disputed billing scenarios
- Break down complex processes and rules into manageable information
- Manage workload independently while meeting accuracy and turnaround expectations
Requirements
What you’ll need- Certified Coding Designation is required
- Certified Professional Coder (CPC)
- High school diploma or equivalent required
- Medical terminology/coding coursework or experience preferred
- A minimum of 2 years of experience in medical bill processing or coding preferred
- Excellent data entry skills
- Strong working knowledge of medical coding (CPT, HCPCS, ICD), fee schedules, and billing regulations
- Demonstrated analytical, investigative, and critical-thinking skills
- Ability to manage workload independently while meeting accuracy and turnaround expectations
- Effective written and verbal communication skills
- Ability to discuss coding to medical providers
- Comfort handling complex or disputed billing scenarios
- Ability to interpret workers compensation rules for repricing
- Ability to work necessary core hours based on assigned states' time zones
Benefits
Comp & perks- Medical, Dental, Vision, Life and Disability Insurance effective day 1
- 25 days paid time off in your first full year
- Paid Holidays
- Comprehensive benefits package and award-winning well-being program
- Tuition reimbursement up to $5,250 for undergraduate tuition and registration fees
- Tuition reimbursement up to $6,000 for graduate tuition and registration fees
- Student Loan Paydown Program after 6 months of service
- Direct student loan contribution of $125 per month, up to a lifetime maximum of $10,000
- Short-term or annual bonuses
- Long-term incentives
- On-the-spot recognition
- Hybrid or remote work arrangement