Medical Billing Analyst (CPC)
We are seeking a detail-oriented Medical Bill Review Specialist for a REMOTE position. In this role, you will be responsible for the precise entry and analysis of CMS-1500 and UB-04 medical bills within the review system. You will act as a critical line of defense against billing inaccuracies by auditing charges for medical necessity, verifying alignment with regulatory fee schedules, and identifying potential fraud or coding errors. This is a fast-paced position that requires the ability to manage multiple project schedules, adapt to evolving client workflows, and consistently hit daily productivity targets. If you are a collaborative problem-solver who excels in a high-compliance environment and enjoys participating in daily strategic planning, we want to hear from you. This postion will be a remote position but requires candidates to work in central or eastern time zones. This is a contract project for 90- 120 days. salary: $20 - $25 per hour shift: First work hours: 8 AM - 5 PM education: High School
Responsibilities
- Accurately input medical billing data (CMS-1500 and UB-04 forms) into the proprietary bill review system.
- Audit & Compliance: Review medical charges for necessity and accuracy, ensuring all billing aligns with fee schedules, regulatory mandates, and coding standards.
- Identify billing discrepancies, errors, or potential fraud to ensure financial accuracy.
- Execute review functions in strict accordance with evolving client-specific guidelines and internal workflows.
- Revenue Recovery: Leverage expertise in provider billing and patient accounting to identify new opportunities for overpayment recovery.
- Maintain rigorous project schedules and consistently meet or exceed daily productivity benchmarks.
- Actively participate in team scrums and planning sessions, providing clear reports on audit findings to management.
Skills
- Medical Billing
- CPC
- Medical Software
- Claims Processing
- Medical Billing - Denials
- Government Contract Billing
- Medical Terminology
- Data Collection
- Billing Audits
- Medical Coding
- ICD-10
- HIPAA
- CPT Codes
- CMS 1500 Forms
- UB-04 Claim Forms
Qualifications
- Years of experience: 4 years
- Experience level: Experienced
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