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Medical Bill Reviewer-100% remote (Anywhere in US) ID-12496

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                            <p>MEDICAL BILL REVIEWER-100% REMOTE ( Anywhere in US )<br />
Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix? technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients? needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and... innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers? compensation insurance carriers; third party administrators (TPAs); and government entities we serve.<br />
PURPOSE: Responsible for handling manual processes involved in applying PPO guidelines to medical bills in a timely and accurate manner.<br />
ESSENTIAL JOB FUNCTIONS<br />
? Identify a provider as participating or non-participating when the automated matching process is not able to make that determination.<br />
? Accurately apply PPO guidelines to those bills where a participation match has been made when the automated re-pricing process is not able to apply the guidelines.<br />
? Communicate with clients and internal Bill Review staff via e-mail or phone:<br />
? To request bill images or documentation when necessary to properly apply a PPO discount.<br />
? To question keying errors or discrepancies and request corrections to properly apply a PPO discount.<br />
? Communicate with the PPO Application team via e-mail, phone, or in person regarding questions and concerns about specific bills or general policies and procedures.<br />
? Utilize appropriate software and documents to calculate contracted rates, which may include, but is not limited to the calculation of AWP, Medicare, or applicable state or federal-mandated fee schedule.<br />
? Assist the Senior PPO Application Specialist with the QA process when necessary.<br />
EDUCATION: High School Diploma Required<br />
REQUIRED EXPERIENCE AND SKILLS:<br />
? Experience with medical bill processes, including familiarity with CPT Codes, Revenue Codes, Bill Types, ICD-9 and/or ICD-10 Codes, State Fee Schedules, UCR, and PPO.<br />
? Experience working with Windows-based software /applications.<br />
? Ability to type with accuracy.<br />
? Ability to review documentation and make decisions on how to proceed based on department policies and procedures.<br />
? Desire to work well with others.<br />
? Motivation to be a self-starter.<br />
EEOC Statement:<br />
Medlogix provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training</p>
                            

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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