Complex Bill Reviewer 2
Company Overview At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth. Be part of a team that makes a real difference.
Job Description
Reviews and researches complex bills to include multiple surgeries, and EMG's in order to properly reimburse providers based on the State Fee Schedule, operative report and services billed. Handles complex bill re-evaluations and responds as to reasons for denial of cases. Interacts with bill reviewers and other complex bill nurses. Reads charts and comparing codes assigned to charts against the charting to verify accuracy.
Qualifications
MUST BE IN THE EASTERN OR CENTRAL TIME ZONE 8:00 AM to 4:30 PM Central Time or 9:00 AM to 5:30 PM Eastern Time. Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), or Registered Nurse (RN) Valid nursing license for the state where they will work (compact license not required) 2 to 3 years of clinical nursing experience Very strong computer literacy skills Mental flexibility to learn coding (CPT and ICD codes) *Requires DSL, fiber or cable internet connection from home. 1 mbps preferred or better.*
Benefits
We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $53,500 - $70,000 annually and will be based on a number of additional factors including skills, experience, and education. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.