Medical Bill Appeals Analyst

Who we are…

CompIQ Solutions is a software and full-service provider focusing on the property and casualty Medical Bill review market. We provide an end-to-end solution for our clients leveraging our proprietary technology and software platforms in the delivery of our solutions and services. We focus our efforts on our three key stakeholders, in this order: 1) Clients; 2) Colleagues; 3) Company.

About this Role

CompIQ Solutions is seeking a Medical Bill Appeals Analyst to support the Bill Review Operations team. The Medical Bill Review Appeals Analyst is responsible for processing appeals/reconsiderations for their assigned clients.

Duties and Responsibilities:

• Reviews Medical Bills/appeal requests from providers to determine appropriate allowance per state Workers Comp regulations.
• Reviews payment recommendations against applicable fee schedule allowances, regulatory or administrative charges, and coding.
• Performs bill review/appeals functions in compliance with established client-specific rules and workflows that may change from time to time.
• Ensures productivity goals are met daily.
• Communicates review issues and results to supervisors and managers.
• Performs other duties as assigned by supervisors and managers.
• Complies with all company guidelines, code of conduct, policies, and standards.

Required Qualifications:

• High School Diploma / GED (or higher)
• 5+ years of experience with processing Workers Compensation bills
• Intermediate proficiency with Microsoft Word, Microsoft Excel, and Microsoft Outlook
• Advanced knowledge in Workers Compensation rules/regulations
• Ability to prioritize and balance multiple priorities and projects
• Ability to identify, understand, and drive resolution of complex critical issues
• Ability to communicate ideas clearly and concisely to leadership (Lead, Director, and VP where appropriate) and technical teams

Preferred Qualifications:

• Bachelor's degree in Business, Health Administration, or related field
• Experience in a large matrix environment
• Medical Billing experience
• Certified Professional Coder (CPC) certification

Soft Skills:

• Excellent oral and written communication skills
• Excellent analytical and problem-solving skills

What We Offer

CompIQ Solutions provides our full-time, regular team members with the below benefits:

• Fair and Competitive Salary
• Flexible schedule in a hybrid or remote-work environment (depending on location)
• Flexible Paid Time Off
• Paid Parental Leave
• Tuition Reimbursement
• Medical, Dental, and Vision Insurance
• 100% Company-paid Short-Term and Long-Term Disability
• 100% Company-paid Life Insurance with additional voluntary enrollment options
• Employee Assistance Programs including counseling with up to 6 complimentary sessions
• Monthly Wellness (Gym Membership) Stipend
• Health Spending Account (HSA) and Flexible Spending Account (FSA) Programs
• 401k Plan with a fully-vested 4% company match
• Career development and growth opportunities

How to Apply

Interested? Please apply directly via our website at: https://compiqsolutions.com/careers/

CompIQ Solutions is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. EOE/M/F/D/V