Rising Medical Solutions

Strategic Bill Review Analyst - Workers' Compensation

Milwaukee, Wisconsin, United States

Sponsorship not specifiedDetected 20 days ago

NegotiationExcelAuditingCustomer SupportAR/VR

About the role

Core Responsibilities include: Review and organize litigation responses.
Work with various Operations teams to ensure bill review accuracy, defend Rising repricing strategies and updating processes as needed.
Appear as an expert witness on an as needed basis for litigated cases, hearings, depositions and fee coder affidavits.

This person also uses their expertise to identify ancillary product trends and deliver AR/AP reporting.
Drive innovation with bill review repricing strategies ensuring workflow creation and proper documentation.
Drive specialty bill review repricing strategies and product development including but not limited to Rising Fair and Reasonable network reductions, Second Look, Rising Guarantee program etc.

High School Diploma required, Associate or Bachelor Degree preferred CPC (Certified Professional Coding) coursework or certification a big plus.
CPC certification required within two years of assuming the position.

Maximize productivity through proficient use of various software programs and reference tools, including Vision, Smart Advisor, Excel, Internet, and company-developed applications.
Communicate with medical providers to obtain needed information and resolve bill-specific issues.
Competitive base salary, profit sharing, 401k matching, generous time off, and career growth opportunities A relaxed, yet upbeat, work environment Rising was named a Top Workplace in the healthcare industry for 2023!

This listing is sourced directly from Rising Medical Solutions's careers page and normalized into a canonical job model.