Bill Review Repricer - Level II

Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.

Job Title: Bill Review Team Lead- BRT II

Location: Remote

GENERAL DESCRIPTION:

Manage day-to-day operations of the medical bill review team to ensure SOPs are being followed and staff is aligned appropriately for the workload as defined in our clients’ SLAs.    

JOB REQUIREMENTS:

• Manage day-to-day workflow of the medical bill review team to ensure the processes are being followed and timelines are met
• Develop and maintain roles & responsibilities and manage staff in the confines of those
• Manage staff overall effectiveness and performance (e.g. perform random sampling of bills for each user to ensure quality of the product)
• Develop and maintain SOPs and meet with staff regularly
• Provide department stats and observations monthly to management
• Front line review for client inquiries
• Perform regular trend analyses of staff and processes and suggest process and system improvements
• Ability to travel; if needed
• Other job duties as assigned

WORK EXPERIENCE REQUIREMENTS:

Required:

• Excellent written and verbal communication skills
• Strong analytical skills; detail oriented, the ability to think big picture/strategically 
• Quick learner:  help manage change
• Process and task oriented, ability to manage multiple workflow processes
• Medical coding experience - CPT, ICD knowledge a plus
• Strong leadership skills; minimum 2 years leadership experience
• Computer savvy and previous experience using Microsoft Office Products

Preferred:

• Minimum 2 years medical billing or claims processing background
• Minimum 2 years Auto Claim Management experience
• Previous experience managing an automated process with exception handling

EDUCATION REQUIREMENTS:

Bachelor’s Degree or Equivalent experience

EEOC STATEMENT:

Medlogix provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.