Advanced Workers' Compensation Medical Bill Reviewer
Hereford Insurance Company
Hereford Insurance Company is seeking a specialized candidate for the role focused on advanced technical reviews of Workers’ Compensation medical bills. This position requires a deep understanding of NYS regulations, EAPG and DRG methodologies, and a coding certification at the CPC level to ensure compliance across billing processes. The ideal candidate will demonstrate strong organizational skills, attention to detail, and the ability to handle complex billing queries while maintaining excellent provider relations. #J-18808-Ljbffr Hereford Insurance Company
$65k - $70k
...Senior Workers' Compensation Compliance Analyst United States -... ...Partners is an innovative medical claims repricing... ...Responsibilities Assist with reviewing state fee schedule... ...coding and/or billing patterns and/or practices... ...Intermediate or advanced knowledge of Excel, PowerPoint...SuggestedLocal areaRemote workFlexible hours$40k - $50k
...This is a full-time position. The Workers’ Compensation Claims Assistant is an entry... ...position primarily responsible for reviewing and processing of medical bills and the intake of new claims.... .../or Abilities: Intermediate/advanced skills in Microsoft Excel. Working...SuggestedFull timeWork at office- Performs advanced technical review of Workers’ Compensation medical bills to ensure regulatory and coding compliance under NYS WCB mandates. This role applies advanced coding knowledge (CPC-level) to ensure the appropriateness of billed services, validating CARC and RARC...Suggested
$55k - $70k
...Sedgwick is seeking a Workers Compensation Consultant to analyze mid- and higher-level claims and ensure compliance while managing complex claims. Candidates should have a Bachelor's degree and four years of experience, with expertise in workers compensation legislation...Suggested$60k
...knowledge material Fully paid licensing and advanced education opportunities Career... ...claims operations and state‑specific workers’ compensation regulations. Shadow Claims Experts: Observe... ...developing skills in analyzing medical documentation, regulatory guidelines,...SuggestedTraineeshipLive outWork at officeLocal areaRemote workFlexible hours- ...Remote Medical Case Reviewer (Contract) Location: Remote About the Opportunity PsyPhyCare is seeking... ...claims. These programs provide compensation for individuals who may have suffered... ...writing and analytical skills. For PhD/Advanced Degree Reviewers: Doctor of Philosophy...Hourly payContract workRemote work
- ...Sr. Workers' Compensation Subrogation Specialist Remote Sr. Workers Compensation Subrogation Specialist... ...maximize recovery outcomes. Maintains advanced knowledge of industry trends, legal... ..., litigation, or closure. Lead case reviews and provide expert input on challenging...Temporary workRemote work
$66.3k - $72k
...management of leave of absence, workers' compensation, and other benefit programs... ...you and your loved ones, Medical, Dental, Vision, Life and... ...growth and career advancement Internal mobility, generous... ...preparation for hearings, including review of determinations....Work experience placementWork at officeFlexible hours- ...protecting the rights of workers across Pennsylvania?... ...for a Workers' Compensation Compliance Investigator... ...employers, insurers, and medical providers follow the Pennsylvania... ...Section 305 On-Site Reviews: Conduct evaluations... ...the interviewer in advance. The Commonwealth is...Full timePart timeSecond jobWork at officeRemote workWork from homeMonday to Friday2 days per week
- ...law firm located in Downtown Manhattan is seeking a dedicated Workers’ Compensation Attorney with at least 3 years of experience handling New... ...preparing for litigation Communicate regularly with clients, medical providers, and insurance carriers Draft legal documents,...Work at office
$150k - $210k
...with an established in-house workers' compensation practice. Do meaningful... ...injured workers secure benefits, medical care, and wage support.... ...and next steps Prepare and review filings, applications, and... ...supporting documentation to advance claims Negotiate settlements...Full timeSummer workWork at office$69.5k - $129k
## Workers Compensation, Claims Specialist IIApplylocations: United States -... ...you’ll investigate and handle medical and/or loss-of-time workers... ...rehabilitation, utilization review, etc.) to manage each claim.... ...Knowledge, Abilities and Skills:** Advanced knowledge of insurance...Full timeTemporary workPart timeCasual workWork at officeHome officeFlexible hoursNight shift- ## Senior Workers’ Compensation Claims Adjuster**Business Title(s):**Senior Workers’ Compensation... ...ensure their employees receive excellent medical care if they need it due to a work-... ...customers’ ability to be profitable). An advanced knowledge of workers’ compensation...Work at officeLocal area
$18 - $29 per hour
Workers' Compensation and Motor Vehicle Scheduling/Support Specialist... ...talent, advanced techniques, and cutting... ...in various electronic medical record (EMR) systems,... ...accurate documentation review and maintain compliance... ...CPT and ICD coding for billing purposes while...Hourly payFull timePrivate practiceWork at officeFlexible hours- ...Worker's Compensation Administrator The Worker's Compensation Administrator... ...compensation OSHA) : Completes, reviews, and maintains incident... ...benefits, and coordinating medical appointments. Coordinate... ...Reviews outstanding medical bills to ensure that charges are accurate...Part time
- ...Jones LLC Jones Jones LLC is a leading insurance defense law firm with over 100 years of proven success. We specialize in workers’ compensation defense, no-fault litigation, subrogation, loss transfer, and construction claims. With offices in New York and New Jersey,...
$120k - $150k
...application process. Associate Attorney (Workers Compensation) Full Time Professional New York, NY,... ...environment in which to develop and advance and opportunities to develop and advance... ...take depositions of parties and experts; review client documents, draft case...Full time- ...Description Join Our Team – Bilingual Workers’ Compensation Paralegal (English/Spanish) Are... ...through their cases Conducting file reviews and monitoring case progress... ...carriers regarding payments Coordinating medical treatment and communicating with doctors...Full timeWork at officeShift work
- ...PolyCon is seeking a remote Workers Compensation Specialist to support our Department of Transportation (DOT)/Federal... ...policy. Claims Management: Conduct comprehensive reviews of OWCP claims to determine eligibility; medical/wage loss benefits; and return to work options...Temporary workWork at officeLocal areaRemote work
- ...Paralegal Position Available Our Workers' Compensation team is growing and we're seeking a Paralegal to support our pod in Jersey City, NJ... ...scheduling meetings and appointments with clients, doctors, and medical experts. Request authorization from the employer/workers'...Full timeWork experience placementMonday to Friday
$55k - $70k
...Workplaces in Financial Services & Insurance Workers Compensation Consultant - Level 2 We're hiring... ...correct. May process complex lifetime medical and/or defined period medical claims which... ...treatments recommended by utilization review. Maintains professional client...Contract workWork at officeLocal area- ...product liability, dangerous drugs, and defective medical products is seeking an experienced Workers' Compensation Paralegal to join its growing team. This... ...carriers, employers, and opposing counsel. Obtain, review, and organize medical records, wage records, and...Full timeWork at office
- ...Overview We are looking for an experienced Workers Compensation Consultant for our client on a project... ...fully remote. Responsibilities Perform review of worker's compensation state... ...include group health plan benefits such as medical, dental, vision, tax‑savings plans, 401...Hourly payContract workLocal areaRemote workFlexible hoursShift work
- ...A federal support solutions provider is seeking a remote Workers Compensation Specialist. The successful candidate will leverage expertise in... ...clients effectively. Responsibilities include comprehensive claim reviews and leading projects while communicating complex information...Remote work
$61.46k - $73.76k
...0041 Category: Medical Billing and Coding Agency:... ...recognized with comprehensive compensation and benefits, career... ...healthy work-life balance, advancement within our organization and... ...professional staff for timely record review and ensuring accuracy of...Full timePart timeWork at officeFlexible hours$142k - $192k
..., producer management and underwriting compliance of excess workers' compensation in the Northeast Region. The AVP-HEC position has direct responsibility... ...our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a...Temporary work$76.21k - $125.76k
...ProAssurance is seeking a Senior Risk Management Consultant to evaluate loss potential for Workers’ Compensation insurance customers. This role supports the Workers’ Compensation line of business and requires interaction with clients in Central Pennsylvania. The ideal...- A professional recovery solutions provider is seeking a Remote Sr. Workers' Compensation Subrogation Specialist. This role demands expertise in managing complex subrogation claims while mentoring team members. Candidates should possess 5 years of relevant experience, strong...Remote job
- ...Workplaces in Financial Services & Insurance Workers Compensation Claims Adjuster | NJ & VA... ...comprehensive benefits offering including medical, dental vision, 401K on day one. #claimsexaminer... ...’s expertise, combined with the most advanced AI-enabled technology available, sets...Remote workFlexible hours
$201.5k - $330.1k
Zurich North America is seeking a Head of Reserving for the Workers Compensation Line of Business. This role reports to the Chief Reserving Actuary... ...regular, actionable coaching and feedback to employees to review progress, recognize accomplishments, support development and...Full timeTemporary workWork at officeLocal areaRemote workVisa sponsorship
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