Medical Bill Review and Analysis Expert
4 days ago
- Analyze and review medical records to assess client needs and develop effective treatment plans.
- Evaluate client medical status and define their problems and needs.
- Provide opinions regarding case costs, treatment plan, outcome, and problem areas, and make recommendations to facilitate rehabilitation goals and return to work.
- Utilize experience and medical resources to interpret medical records and test results, and provide appropriate assessments accordingly.
- Review cases with immediate superior monthly to evaluate files and obtain directions.
- Demonstrate knowledge and understanding of Broadspire medical department policies and procedures and ability to communicate same with internal/external customers as necessary.
- Bachelor's degree in Nursing.
- Active and good standing Philippine RN license; Active and good standing US RN license from any mainland state.
- Minimum two years diverse clinical experience or prior experience in Medical Bill Review.
- Excellent verbal communication skills and customer orientation.
- Proficient in word processing software applications.
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Medical Bill Review Expert
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Clinical Program Nurse I
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Iloilo City, Western Visayas, Philippines Crawford & Company Full timeJob DescriptionResponsible for auditing in-patient and/or surgical bills to promote excellence in medical bill review and process improvement.ResponsibilitiesMedical Bill ReviewProcesses inpatient and/or surgical bills by adhering to the given standard operating procedures (SOP) and turnaround time to complete the task.Performs bill review process by...
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