healthcare
Posted Apr 23Nurse Itemized Bill Reviewer (IBR Analyst)
at Machinify
United StatesRemote
You are nearing today's limit. Upgrade for unlimited access.
Responsibilities
- Perform an in-depth review of medical claims utilizing the UB-04 and detailed itemized statement to ensure the validity of line-item charges.
- Verify accuracy of the itemized charges to be reimbursed according to client policy and industry standards.
- Validate automatic system denials and create additions to enhance efficient processing of IBR claims.
- Recommend system enhancements and edits to improve claim review efficiency.
Requirements
- Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise.
- Active RN, LPN, or LVN license in good standing Equivalent
- experience of 1+ years in itemized bill review Equivalent
- Experience applying payer policies and national coding guidelines such as CPT, ICD-9/10, and HCPCS
- Ability to research and verify billing and coding accuracy
- Strong ability to work independently and work with internal teams communicating change across the business
- Experience working with multiple monitors
- Proficient in Windows office systems, including the full Microsoft Suite and Teams
- Advanced skills in Microsoft Office (Excel, PowerPoint, Word) •
- Experience with various software applications and collaboration with development teams What We Offer:
Experience
- experience of 2+ years in healthcare billing and coding •
Benefits
- We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
- At Machinify, we’re constantly reimagining what’s possible in our industry—creating disruptively simple, powerfully clear ways to maximize our clients’ financial outcomes today and drive down healthcare costs tomorrow.