Remote Workers Compensation Medical Bill Review Specialist

Our client is seeking an experienced Workers’ Compensation Medical Bill Review Specialist to join their California team on a temporary basis. This position will support the review and processing of workers’ compensation medical bills, ensuring charges are accurately evaluated and processed according to applicable guidelines. The ideal candidate will have prior workers’ compensation medical bill review experience and a strong understanding of medical coding, billing practices, and state-specific reimbursement requirements. Responsibilities: Review workers’ compensation medical bills for accuracy and appropriate reimbursement Evaluate medical charges using applicable state fee schedules and billing guidelines Review procedure and diagnosis codes to ensure accurate processing Identify billing discrepancies, coding issues, and charges requiring additional review Process bills and related documentation within established turnaround times Maintain accurate claim and billing information within internal systems Communicate with internal teams and medical providers regarding billing questions or discrepancies Ensure medical bills are processed in accordance with workers’ compensation requirements and internal procedures Qualifications: 2-4+ years experience with Workers’ Compensation medical bill review Working knowledge of CPT and ICD-9/ICD-10 coding Experience interpreting Workers’ Compensation fee schedules Understanding of medical billing and reimbursement practices Familiarity with Workers’ Compensation claims and regulatory guidelines Comfortable learning and navigating claims and bill review software Strong attention to detail and ability to identify billing discrepancies Ability to manage a high-volume workload and meet deadlines Pay & Benefits: $25.00/hr to $35.00/hr Competitive Medical, Dental, and Vision Benefits while on assignment Opportunity to transition to permanent employee Flex schedule and ability to work remotely