Medical Bill Processor

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.

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Medical Bill Processor

Job Description: Responsible for the processing of medical bills. To code and process provider and hospital bills. Enter pre-coded billing data into the system and verify the output.

Skills & Knowledge

• Excellent written communication skills.
• PC literate, including Microsoft Office products: Outlook Email.
• Analytical and interpretive skills.
• Strong organizational skills
• Good interpersonal skills
• Ability to work in a team environment.
• Ability to meet or exceed Performance Competencies.
• Type 45 WPM
• Knowledge of ICD-9, ICD-10, CPT, HCPCS, Form 1500, UB04 forms, and medical revenue coding.
• Knowledge of medical terminology is a plus.

Duties

• Keys pre-coded billing data into the billing 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 the service provider with service provided.
• Involved in system maintenance/file maintenance and interface with IT department.
• Performs other duties as assigned.
• Supports the organization's quality program(s).

Education

High School diploma and/or equivalent.

Experience

One (1) year of general office experience or equivalent combination of education and experience required.

Work Environment

When 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

Auditory/Visual: Hearing, vision, and talking.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $15.00 - $17.50. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

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 change the duties of the position at any time.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.