Medical Bill Reviewer I

Performs activities related to the accurate interpretation of the governing laws and regulations surrounding the processing and transmission of wage loss and medical payment data related to injured workers, insured or claimants claims. The focus of this role is on handling original bills that tend to be more routine in nature. Refers more complex bill processing items onto unit lead or supervisor.

We're currently recruiting for a Medical Bill Reviewer to support our Workers’ Compensation Medical Bill Review Unit.

 

This position will be located at our Stevens Point, WI office. 

 

What You'll Do

•   Review, evaluate, and process workers’ compensation bills
•   Follow established state and federal medical bill review rules and regulations
•  Communicate with medical providers regarding payment or denial of payment
•  Research and interpret state fee schedules.
•  Complete routine bill review activities for accurate pricing and payment of medical bills

What it Takes

• Technical diploma or equivalent work experience
•   Associate Degree in Health Informatics/Health Information/Medical Coding preferred.
•   1-3 years of related work experience preferred.
•   Experience in a medical office, insurance environment, or medical coding beneficial.
•   CCA, CCS-P, or RHIT credentials preferred.
•   Basic knowledge of ICD10, CPT, HCPCS codes necessary for accurate processing.
•   PC knowledge including Excel as well as keyboarding, math aptitude, and organizational skills.
•   Proficient analytical and decision-making skills with the ability to work independently.
•   High level of communication, customer service, and telephone skills required.
•   Ability to work within deadlines, maintain confidentiality, and work with detail and a high level of accuracy is essential.

What You'll Receive:

At Sentry, your total rewards go beyond competitive compensation. Below are some benefits and perks that you’ll receive.

• Sentry is happy to offer flexibility through a scheduled Hybrid work model. Monday and Friday work from home if you choose to, Tuesday through Thursday in office.
• As a Sentry associate, you will have an in-office workspace and materials for your home office. In addition to the laptop, you will receive prior to your start, Sentry will provide equipment for your home office. 
• Meal Subsidy available for associates who report to an office.
• 401(K) plan with a dollar for dollar match on your first eight percent, plus immediate vesting to help strengthen your financial future.
• Continue your education and career development through Sentry University (SentryU) and utilize our Tuition Reimbursement program
• Generous Paid-Time Off plan for you to enjoy time out of the office as well as Volunteer-Time off
• Group Medical, Dental, Vision, Life insurance, Parental leave, and our Health and Wellness benefits to encourage a healthy lifestyle.
• Well-being and Employee Assistance programs
• Sentry Foundation gift matching program to encourage charitable giving.

About Sentry:

We take great pride in making Forbes’ list of America’s Best Midsize Employers since 2017. A lot of different factors go into that honor, many of which contribute to your job satisfaction.

Our bright future is built on a long track record of success. We got our start in 1904 and have been helping businesses succeed and protect their futures ever since. Because of the trust placed in us, we’re one of the largest and financially strongest mutual insurance companies in the United States. We’re rated A+ by A.M. Best, the industry's leading rating authority.

Our headquarters is in Stevens Point, Wisconsin, with offices located throughout the United States. From sales to claims, and information technology to marketing, we enjoy a rewarding and challenging work en