Bill Review Complex Analyst, Risk Management

Description

Processing of workers compensation medical claims, including adjudication of claims to meet state laws, data entry of bills, filing of bills, correspondence, and all other duties to make sure that bills are handled and paid in a timely manner.

Additional Information

Your application may have additional steps that you will need to complete in order to remain eligible for consideration. Please be sure to monitor your email, including your spam folder, on a daily basis for critical, time-sensitive emails that could require action within 24-48 hours.

Please do not use your Publix email address when applying. Once your application has been successfully submitted you will receive a confirmation email.

Required Qualifications

• Associate's degree Or equivalent experience

• 1-year general office with experience with Windows based programs

• Knowledge of CPT and ICD-9 codes

• Knowledge of multiple state Worker's Compensation Fee Schedules for the states in which Publix does business in

• Knowledge of Medical Terminology

• Basic knowledge of Microsoft word, excel, power point, access and Outlook

• Must have excellent attendance and punctuality record

• Professional telephone etiquette

• Excellent verbal and written communication skills

• Must have strong organizational skills

• Ability to handle a large volume of work in a fast paced environment

• Ability to manage multiple tasks

• Data entry experience preferred

• Basic knowledge of office equipment and their operation

• Good human relation skills (the ability to work well with others and to be a team player)

• Must show enthusiasm, initiative and pride in work, and

• Commitment to Publix and our mission

Preferred Qualifications

• BS degree or certificate of completion of a medical terminology or medical billing program

• 1 year in medical or insurance services, with advanced knowledge of CPT and ICD-9 codes, and knowledge of medical terminology

• Bilingual in English and Spanish