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At Zelis, the Itemized Bill Review Facility Reviewer I is responsible for analyzing facility inpatient and outpatient claims for Health Plans and TPA’s to ensure adherence to proper coding and billing guidelines. They will work closely with Hospital Bill Review and Concept Development staff to efficiently identify billing errors and adhere to policies and procedures for claims processing. This is a production-based role with production and quality metric goals.
Job Responsibility:
Conduct detailed review of hospital itemized bills for identification of billing and coding errors for all payor’s claims
Contribute process improvement and efficiency ideas to team leaders and in team meetings
Translate client reimbursement policies into Zelis coding and clinical concepts
Understand payor policies and their application to claims processing
Prepare and upload documentation clearly and precisely identifying findings
Accurately calculate/verify the value of review and documentation for claim processing
Monitor multiple reports to track client specific requirements, turnaround time and overall claims progression
Maintain individual average productivity standard of 10 processed claims per day
Consistently meet or exceed individual average quality standard of 85%
Ability to manage a variety of claim types with charges up to $500,000
Collaborate between multiple areas within the department as necessary
Follow standard procedures and suggest areas of improvement
Remain current in all national coding guidelines including Official Coding Guidelines and AHA Coding Clinic and share with review team
Maintain awareness of and ensure adherence to Zelis standards regarding privacy
Requirements:
CPC credential preferred
1 – 2 years of applicable healthcare experience preferred
Graduate
Working knowledge of health/medical insurance and handling of claims
General knowledge of provider claims/billing, with medical coding and billing experience