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Medical Bill Processor

Role overview

Qualifications

  • High School diploma or GED required
  • One (1) year of general office experience or equivalent combination of education and experience required
  • Knowledge of medical terminology preferred

Responsibilities

  • Keys pre-coded billing data into the system
  • Identifies and forwards complex bills to claims examiners
  • Codes provider bills in accordance with claims management system notes and state guidelines
  • Follows workers compensation/auto guidelines to evaluate the services

Key facts

  • Remote from: United States
  • Full time
  • Junior (1-2 years)
  • Physician
  • English

Hard skills

Other skills

  • Detail Oriented
  • Computer Keyboards
  • Collaboration
  • Time Management

About the company

Sedgwick Ireland logo

Sedgwick Ireland

Insurance

Sedgwick, previously operating under the OSG Vericlaim brand, is Ireland's largest and longest established Specialist Third Party Administrator and Loss Adjuster. We are a SEDGWICK Company and part of the Global Sedgwick Organisation backed by the resources of the Leading Global Provider of technology enabled risk and claims solutions we can truly offer a local market based service operating to market leading international standards. Having built on our history and heritage as Chartered Loss Adjusters, today we provide a diverse and extensive range of outsource services for the Insurance and Financial Sectors in Ireland and Internationally. A unique business model incorporating industry and market experience, the application of behavioural science, lean process management and modern technology sets Sedgwick apart from the competition in our chosen markets. Providing the service layer between our clients and their customers we have a proven pedigree and reputation for operational excellence delivering the widest range of specialist and technical services in the market. The Sedgwick difference is our People and a desire to develop our talent for the benefit of all our stakeholders. Taking Care of People "Caring Counts” is at the heart of everything we do and the guiding principal in the development of Sedgwick becoming the leading broad based service provider we are today. We are Regulated as an Insurance Intermediary with the Central Bank of Ireland, have full EU Passport status and meet all Fiduciary and Corporate Governance Standards.

Company details

Company typeStartup
IndustryInsurance
Company size201 - 500

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Job description

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Medical Bill Processor

This is a detail-oriented data entry position supporting our medical bill review operations. The primary responsibility is the accurate input and maintenance of provider demographics, contract information, and medical bill details within our systems. Success in this role requires strong attention to detail, keyboarding accuracy, and the ability to work efficiently in a high-volume production environment.


Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career?

  • A stable and consistent work environment in an office and/or virtual setting
  • A training program to learn how to help employees and customers from some of the world’s most reputable brands
  • An assigned mentor and manager who will guide you on your career journey
  • Career development and promotional growth opportunities through increasing responsibilities
  • A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs

ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.


PRIMARY PURPOSE OF THE ROLE: To code provider bills; to enter pre-coded billing data into the system; and to verify the output.


ESSENTIAL RESPONSIBLITIES MAY INCLUDE:

  • Keys pre-coded billing data into the system.
  • Identifies and forwards complex bills to claims examiners.
  • Codes provider bills in accordance with claims management system notes and state guidelines.
  • Follows workers compensation/auto guidelines to evaluate the services.
  • Compares qualifications of service provider with service provided.
  • Involved in system maintenance/file maintenance and interface with IT department.
  • Assists in account batching and distribution of incoming and outgoing mail.
  • Answers customer service calls from providers, clients and claims examiners.

QUALIFICATIONS:

Education & Licensing - High School diploma or GED required.


Experience - One (1) year of general office experience or equivalent combination of education and experience required. Knowledge of medical terminology preferred.


TAKING CARE OF YOU

  • Entry-level colleagues are offered a world class training program with a comprehensive curriculum
  • An assigned mentor and manager that will support and guide you on your career journey
  • Career development and promotional growth opportunities
  • A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more

Work environment requirements may include:
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.


NEXT STEPS

If your application is selected to advance to the next round, a recruiter will be in touch.


As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $21.00- $22.00/hr.  A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.


The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.


Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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