We are seeking a detail-oriented and analytical Bill Review Analyst to join our healthcare back-office team. This role is crucial in ensuring the accuracy and compliance of medical bills and claims while supporting our commitment to operational excellence.

Key Responsibilities:

• Review and analyze medical bills for accuracy, coding compliance (CPT, ICD-10, HCPCS), and adherence to fee schedules.
• Identify billing discrepancies, errors, and potential overpayments, and take appropriate corrective action.
• Process denied or rejected claims following company policies and regulatory guidelines.
• Communicate findings and resolutions clearly with internal teams and external providers.
• Maintain thorough documentation of bill reviews and audit processes.
• Stay up-to-date with medical billing regulations and coding updates.

Qualifications:

• Bachelor’s degree in any related field.
• Experience in medical billing, claims review, or healthcare analytics (1–3 years preferred).
• Familiarity with CPT, ICD-10, and HCPCS coding standards.
• Strong analytical, problem-solving, and attention-to-detail skills.
• Proficient in Microsoft Excel and other reporting tools.
• Excellent communication skills, both written and verbal.