Medical Review Audit Assoc III- RN

Who We Are

We’re a group of talented, driven professionals who strive every day to improve the lives of our clients, our providers and the ultimate stakeholders – the injured workers. We offer an exciting workplace environment plus competitive salaries and benefits. What makes us stand out? It’s the people, the culture we foster and the opportunity to learn and to grow.

Primary Duties & Responsibilities

• Reviews medical bills for unrelated charges, non-compensable charges, coding and billing errors.
 • Travels, as required, to on-site hospital facilities.
 • Achieves percent of savings expectations through their review billing
 • Ensures productivity goals are met daily, e.g. number of bills reviewed.
 • Communicates audit findings to physicians offices and hospitals.

Qualifications

Bachelor’s Degree 

Registered Nurse required

Bill Review Experience required

Worker's compensation experience preferred

Self-motivated 

Strong work ethic 

Ability to work independently and multi task in a fast paced environment 

Detail oriented 

Solid time management and organizational skills 

Working Conditions & Physical Requirements

Office and Home Environment • The work environment characteristics described here is representative of those of a standard office setting. The noise level in the work environment is usually moderate. • While performing the duties of this job, the employee must be able to remain in a stationary position over 50% of the work day; move about inside the office to access files or office equipment; use hands to finger, handle, or feel objects, tools, or controls to operate a computer and other office productivity machines; reach with hands and arms; must communicate and converse with co-workers; and detect/discern information accurately. • Specific vision abilities required by this job include close vision and the ability to adjust focus. • The employee must occasionally lift and/or move up to 10 pounds.

What We Offer 

Possibility for remote and hybrid work opportunities • Great work-life balance • Medical, Dental and Vision insurance • Company paid Life & Disability Insurance • Flexible Spending Accounts • 401(k) with employer contribution • Generous Paid Time-Off policies • Employee Assistance Program • Referral Program Disclaimer The aforementioned statements are intended to describe the general nature and level of work to be performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of an incumbent