Medical Bill Reviewer I

Join our Medical Bill Reviewing team and ensure accurate processing of wage loss/medical claims data by applying laws and regulations; handle routine bills and escalate complex issues

What You'll Do  

As a Medical Bill Reviewer I, you’ll perform a review of medical bills submitted into our Personal Injury Protection department to ensure correct billing and payment practices.  Additionally, you’ll:

• Review, evaluate, and process Personal Injury Protection (PIP) medical bills

• Utilize knowledge of medical coding requirements; including CPT/HCPCS/Revenue codes, ICD-9/ICD-10 coding, and CMS-1500/UB-04 forms to process and pay PIP medical bills

• Follow established state and federal medical bill review rules and regulations

• Communicate with medical providers regarding payment or denial of payment

• Perform well in a production-based environment regarding timely and accurate processing of PIP medical bills

• Provide superior customer service while connecting with medical providers, vendors, and internal customer inquiries relating to medical bill processing

What it Takes  

• Technical diploma or equivalent work experience 

• Associate Degree in Health Informatics/Health Information/Medical Coding preferred

• 1-3 years of related work experience in a medical office, insurance environment, or medical coding beneficial

• Basic knowledge of ICD9/ICD10, CPT, HCPCS codes necessary for accurate processing

• PC knowledge including Excel as well as keyboarding, math aptitude, and organizational skills

• Proficient analytical and decision-making skills with the ability to work independently

• High level of communication, customer service, and telephone skills required

• Ability to work within deadlines, maintain confidentiality, and work with detail and a high level of accuracy is essential

What You'll Receive  

At Sentry, your total rewards go beyond competitive compensation. Below are some benefits and perks that you’ll receive. 

• Sentry is happy to offer  flexibility  through a scheduled Hybrid work model.  Monday and Friday work from home  if you choose to, Tuesday through Thursday you’ll work in office.

• As a Sentry associate, you will have an in-office workspace and materials for your home office. In addition to the laptop, you will receive prior to your start, Sentry will  provide equipment  for your home office.  

• Meal Subsidy  available for associates who report to an office. 

• 401(K) plan with a dollar for dollar match on your  first eight percent,  plus immediate vesting to help strengthen your financial future.

• Continue your education and career development through Sentry University (SentryU) and utilize our  Tuition Reimbursement  program

• Generous Paid-Time Off plan for you to enjoy time out of the office as well as  Volunteer-Time off   

• Group Medical, Dental, Vision, Life insurance, Parental leave, and our Health and Wellness  benefits  to encourage a healthy lifestyle.

• Well-being and  Employee Assistance  programs

• Sentry Foundation  gift matching  program to encourage charitable giving. 

About Sentry  

We take great pride in making Forbes’ list of America’s Best Midsize Employers. A lot of different factors go into that honor, many of which contribute to your job satisfaction.

Our bright future is built on a long track record of success. We got our start in 1904 and have been helping businesses succeed and protect their futures ever since. Because of the trust placed in us, we’re one of the largest and financially strongest mutual insurance companies in the United States. We’re rated A+ by A.M. Best, the industry's leading rating authority. 

Our headquarters is in Stevens Point, Wisconsin, with offices located throughout the United States. From sales to claims, and information technology to marketing, we enjoy a rewarding and challenging work environment with opportunities for ongoing professional development and growth. 

Get ready to own your future at Sentry. Opportunities await! 

Talent Acquisition Specialist

Shea Supa

Equal Employment Opportunity

Sentry is an Equal Opportunity Employer. It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation.