Medical Bill Reviewer - Data Entry

About Us

At Davies, we get it... you are not just looking for a job, you are looking to build a life and a career. We believe in our people and realize that our success is a direct result of creating a learning atmosphere, leadership opportunities, and promoting from within.

We believe that engaging in corporate social activities and working together as a team is a vital part of the Davies culture.

With a multinational global team, Davies Group is a specialist professional services and technology firm working in partnership with leading insurance, highly regulated, and global businesses.

At Davies Group, we help clients to manage risk, operate core business processes, and to transform and grow. We deliver operations, consulting and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation, customer experience, human capital, transformation, and change management.

Are you looking for a company that is Dynamic and Innovative where the teammates are Connected and Succeed Together? If so, Davies may just be the right choice for you.

Job Overview

USIS Inc / AmeriSys, part of Davies Specialty Programs, is looking for a Medical Bill Reviewer to review of Workers’ Compensation provider medical bills for cost containment purposes.

Opportunity to work from home after attending training in our Orlando office for a few weeks.

Responsibilities and Duties :

• Accurately entering data of provider bills according to state Workers’ Compensation Fee Schedule rules.
• Analyzing, reviewing and recommending payment to medical providers based upon statutory rules or guidelines.
• Utilizing Fee Schedules, online document, client instructions and other training material to properly review medical bills.
• Researching usual and customary / Fee Schedule applications as appropriate.
• Ensuring timely payments to providers
• Handling provider and customer phone calls.
• Training on an on-going basis to increase knowledge with State Fee Schedule, medical terminology, use of reference materials,
• Performing other duties as assigned.

Experience and Qualifications

• Experience in specific state’s Workers’ Compensation Fee Schedule, medical terminology, CPT, ICD-10, HCPCS coding.
• Data entry proficiency and computer skills
• One-year medical terminology / medical office experience.
• Typing 60+ wpm / 10-key by touch. Position requires heavy numerical data entry with high ratio of accuracy.
• Preferred : familiarity with provisions and contents of other state WC programs, particularly : CA, GA, SC, NC, VA, AL and TN

Knowledge, Skills and Abilities

• Experience dealing with medical provider offices.
• Organized, motivated, detail orientated.
• Ability to successfully meet daily deadlines.
• Reliable attendance.

Diversity and Inclusion

Davies is committed to being a diverse and inclusive workplace. We welcome candidates of all genders, gender identity and expression, neurodiversity, sexual orientation, disability, physical appearance, body size, race, age, nationality, and belief (or lack thereof).

Rewards and Recognition

We embrace innovation and run an annual competition available for all colleagues to submit their ideas. The top finalists travel to the current year’s competition site where they pitch their ideas to our investors.

The winner receives funding to bring their idea to life and the runners up receive a reward for their involvement. Some of our teammates have moved across into brand new positions to further develop their ideas / projects!

Benefits

• Medical, dental, and vision plans
• 401k plan with employer matching
• Paid Time Off, Sick Leave, and Paid Holidays
• Life insurance, short term, and long-term disability plans
• Amazing leadership and fabulous teammates

Position Type, Work Environment and Physical Demands

This is a home-based, full time, hourly, non-exempt position that predominantly operates remotely from a professional home-based office environment routinely using standard office equipment such as computers, phones, printers, photocopiers, and scanners and requires prolonged periods of sitting at a desk while working on a computer.

While performing the duties of this job, the individual will be required to regularly hear and talk. This is a largely sedentary role requiring the ability to sit at a desk, reach outward, use a phone, have use of fingers to operate office equipment such as a keyboard, mouse, phone, printer, copier, and to reach above the head, bend, or stand as necessary.

Application Information

Application deadline : May 24, 2024

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