Medical Bill Reviewer I

Job Description

A Medical Bill Reviewer I will perform activities related to the accurate interpretation of the governing laws and regulations surrounding the processing of medical bills and related activities for insured claims.

This position will be located at our Stevens Point, WI office.

What You’ll Do

As a Medical Bill Reviewer I you’ll perform a review of medical bills submitted into our Personal Injury Protection (PIP) department to ensure correct billing and payment practices.  Additionally, you’ll :

Utilize knowledge of medical coding requirements; including CPT / HCPCS / Revenue codes, ICD-9 / ICD-10 coding, and CMS-1500 / UB-04 forms to process and pay medical bills.

Perform well in a production based environment reviewing state rules and regulations regarding timely and accurate processing of PIP medical correspondence via verbal and written communications with medical providers, vendors, and internal customer inquiries relating to medical bill processing while maintaining superior customer service.

What it Takes

In order to be eligible for this elite opportunity you must meet the following criteria :

Technical diploma or Associate Degree in Health Informatics / Health Information / Medical Coding preferred.

1-3+ years of related work experience in a medical office or insurance environment beneficial.

PC knowledge including Excel as well as keyboarding, math aptitude, and organizational skills.

Proficient analytical and decision-making skills with the ability to work independently.

High level of communication, customer service and telephone skills required.

Ability to work within deadlines, maintain confidentiality, and work with detail and a high level of accuracy is essential.

What You'll Receive :

At Sentry, your total rewards go beyond competitive compensation. Below are some benefits and perks that you’ll receive.

Sentry is happy to offer flexibility through a scheduled Hybrid work model. Monday and Friday work from home if you choose to, Tuesday through Thursday in office.

As a Sentry associate, you will have an in-office workspace and materials for your home office. In addition to the laptop, you will receive prior to your start, Sentry will provide equipment for your home office.

Meal Subsidy available for associates who report to an office.

401(K) plan with a dollar for dollar match on your first eight percent, plus immediate vesting to help strengthen your financial future.

Continue your education and career development through Sentry University (SentryU) and utilize our Tuition Reimbursement program

Generous Paid-Time Off plan for you to enjoy time out of the office as well as Volunteer-Time off

Group Medical, Dental, Vision, Life insurance, Parental leave, and our Health and Wellness benefits to encourage a healthy lifestyle.

Well-being and Employee Assistance programs

Sentry Foundation gift matching program to encourage charitable giving.

About Sentry :

We take great pride in making Forbes’ list of America’s Best Midsize Employers since 2017. A lot of different factors go into that honor, many of which contribute to your job satisfaction.

Our bright future is built on a long track record of success. We got our start in 1904 and have been helping businesses succeed and protect their futures ever since. Because of the trust placed in us, we’re one of the largest and financially strongest mutual insurance companies in the United States. We’re rated A+ by A.M. Best, the industry's leading rating authority.

Our headquarters is in Stevens Point, Wisconsin, with offices located throughout the United States. From sales to claims, and information technology to marketing, we enjoy a rewarding and challenging work environment with opportunities for ongoing professional development and growth.

Get ready to own your future at Sentry. Opportunities await!

Talent Acquisition Specialist

Shea Supa

Equal Employment Opportunity

Sentry is an Equal Opportunity Employer. It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation.