Senior Medical Bill Review Specialist - Workers Compensation
New
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EnlyteWorkers' Compensation medical bill review
This is a full-time remote position that can be located anywhere in the U.S.Full-TimeSenior
Salary59,000 - 75,000 USD per year
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Job Details
- Experience
- Two or more years of relevant experience
- Required Skills
- Microsoft ExcelAnalytical SkillsProblem SolvingCustomer servicePowerPointRelationship management
Requirements
- High school diploma and two or more years of relevant experience, or an equivalent combination of education and experience.
- Strong customer service, communication, and relationship management skills.
- Demonstrated analytical, critical-thinking, and problem-solving abilities.
- Ability to prioritize competing responsibilities and perform effectively in a fast-paced environment.
- Strong written communication and documentation skills.
- Proficiency with Microsoft Office applications, including Excel, Word, PowerPoint, and Teams.
- Ability to effectively utilize Microsoft Copilot and other AI-enabled productivity tools.
- Preferred: Experience in Workers' Compensation medical bill review.
- Preferred: Knowledge of Workers' Compensation regulations and processes.
- Preferred: Experience supporting clients in Texas, California, Utah, Florida, Pennsylvania, Nevada, New York, and Illinois.
- Preferred: Experience with Salesforce, SmartAdvisor, Tableau, or similar reporting and workflow management tools.
- Preferred: Experience with operational reporting, data analysis, and process improvement initiatives.
Responsibilities
- Serve as the primary operational contact for assigned clients and maintain working relationships.
- Coordinate client program changes and support implementation activities.
- Monitor inventory, turnaround times, and service-level commitments, and address issues.
- Investigate and resolve client inquiries, service concerns, and operational escalations.
- Collaborate with clients, vendors, and internal business partners to resolve workflow challenges.
- Prepare, analyze, and present operational reports, performance metrics, and business insights.
- Identify and implement process improvements to enhance efficiency, service quality, and the client experience.
- Maintain workflow documentation, procedures, and operational best practices.
- Use Microsoft Copilot and other AI-enabled tools to improve productivity, reporting, analysis, communication, and workflow effectiveness.
- Participate in client meetings, business reviews, audits, and special projects; travel as needed.
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