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Machinify

The future of payment integrity.

Nurse Itemized Bill Reviewer, IBR Analyst

AnalystAnalystFull TimeRemoteJuniorTeam 1,001-5,000Company SiteLinkedIn

Location

United States

Posted

4 days ago

Salary

$80K - $90K / year

Seniority

Junior

Professional Certificate1 yr expEnglish

Job Description

• 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. • Comply with company standards regarding accuracy and productivity to manage daily assignments and meet client turnaround times. • Consult with Senior Analysts with any questions and/or issues related to claim reviews. • Assist in content development, automation, research, and appeal responses as needed. • Provide input and collaboration concerning content development with internal groups and on global projects as needed. • Attend all required meetings. • Assists in special projects and perform other duties as needed.

Job Requirements

  • Active RN, LPN, or LVN license in good standing
  • Equivalent experience of 1+ years in itemized bill review
  • Equivalent experience of 2+ years in healthcare billing and coding
  • 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
  • Possess significant attention to detail and excellent written and verbal skills
  • Excellent organizational, analytical, and problem-solving skills
  • Capable of handling multiple projects in a fast paced, hyper-growth environment
  • Strong ability to work independently and work with internal teams communicating change across the business

Benefits

  • Work from anywhere in the US! Machinify is digital-first.
  • Top Medical/Dental/Vision offerings
  • FSA/HSA
  • Tuition reimbursement
  • Competitive salary, 401(k) with company match
  • Additional health and wellness benefits and perks
  • Flexible and trusting environment where you’ll feel empowered to do your best work

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