Medical Bill Processor - Sedgwick Claims Management Services, Inc.
OH, OH
About the Job
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Medical Bill Processor
PRIMARY PURPOSE: To code provider bills; to enter pre-coded billing data into the system; and to verify the output.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Keys pre-coded billing data into the system.
- Identifies and forwards complex bills to claims examiners.
- Codes provider bills in accordance with claims management system notes and state guidelines.
- Follows workers compensation/auto guidelines to evaluate the services.
- Compares qualifications of service provider with service provided.
- Involved in system maintenance/file maintenance and interface with IT department.
- Assists in account batching and distribution of incoming and outgoing mail.
- Answers customer service calls from providers, clients and claims examiners.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
- Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing
High School diploma or GED required.
Experience
One (1) year of general office experience or equivalent combination of education and experience required. Knowledge of medical terminology preferred.
Skills & Knowledge
- Excellent oral and written communication
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Good interpersonal skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.