Bill Review Analyst - UNAVAILABLE

Overview

Processes Workers’ Compensation medical bills in the Smart Advisor Bill Review Software application to reprice bills to the OMFS (Official Medical Fee Schedule) and/or contracted PPO rate.

Keenan, an Accretive company, is an insurance brokerage and consulting firm meeting the insurance needs of hospitals, public entities and California school districts. Keenan specializes in providing consulting services in the areas of: employee benefits, workers' compensation, loss control, financial, and property & liability.

What You'll Do

• Expectation of processing a minimum of 130 bills per day.
• Enters paper claims data from Landing Zone. Reviews charges and enters BR Explanation Codes.
• Audit E-bills and review Capstone rules that fired and makes adjustments as indicated.
• Identify and address issues while processing the bills (no claim number or incorrect claim number, provider not in the system, invalid procedure code, duplicate bills, uphold any prospective nurse case management certification letters, etc.)
• Further review is based on established policies and procedures. Ensure all are accurately applied.
• Consult with Senior Reviewer, QA team or Supervisor as needed.
• Complete Bill Track daily and correct/release any pends.
• Maintain an error rate of less than 3% on QA reviews.
• Complete all continuing education requirements.
• Other duties may be assigned.

What You'll Need

• Minimum of one (1) year of Workers’ Compensation Medical Bill Review experience required.
• California Workers’ Compensation Medical Bill Reviewer designation preferred ((if not licensed, must secure within one (1) year from date of hire.)
• Must be detailed oriented and organized.
• Ten-key by touch required.

What's in it For You?

To help you make the best decision for your personal growth, it’s important to us to share a glimpse of what we offer our top asset, our people:   

• Competitive base salary.   
• Generous 30+ Days Comprehensive Paid Time Off Package inclusive of Paid Time Off, 10 Company Holidays, 2 Floating Holidays, 5 Sick Days, and 2 Volunteer Days.
• Health benefit options with you in mind; 5 affordable medical plan options with rates based on your salary, company paid HSA contribution with eligible HSA plan selection, 2 dental plan options offering orthodontia coverage and 3 cleanings per year, and 2 vision plan options.    
• Company match 401(k) plan – 50% up to 6%!   
• Support of your fitness wellness goals! We offer up to 75% off at over 11,000 gyms and fitness centers.    
• Opportunity to prioritize your mental health with 24/7 access to licensed therapists.   
• Pet benefits & discounts.    
• Access to our Employee-led Resource Groups (ERGs) that lend a voice to the variety of demographics represented throughout our company.

Compensation:

The target salary range for this position is $42,000.00 to $62,000.00 (US Dollar) annually. The actual salary will vary based on applicant’s education, experience, skills, and abilities, as well as internal equity and alignment with market data. The salary may also be adjusted based on applicant’s geographic location. Remote work environment flexibility but candidate must reside in California.

Grow, with us

Accretive is a collection of elite specialty and wholesale agencies supported by experienced industry leaders. Our expertise is broad, and our innovative culture runs deep. We value relationships above all else and consistently deliver best in class customized solutions and service you can trust.

Accretive is passionate about fueling our clients’ innovation and growth. That makes us the perfect place for creative, dynamic people who want to grow their career while helping businesses, families and people thrive.  We are proud to be one of the largest brokers in the country, but we’re even prouder of the honest, caring relationships that our employees build with our clients every day.

Working with us will give you the opportunity to do work that matters while you learn with us, advance with us, and most importantly, grow with us. Accretive is committed to embracing diversity, equity and inclusion to create a workplace that welcomes and thrives on the unique experiences, perspectives and contributions of all team members. Accretive is bringing the best people and most diverse talent forward to drive growth, innovate and think bigger!