Medical Bill Review Auditor (working title: Data Entry Associate)
Looking to gain professional experience (or transition to the thriving healthcare/insurance industry) while working at a fun and driven company? Are you someone who gets in the "flow" while handling administrative-type work? Rising may have the perfect job for you.
What kind of a person makes a good auditor?
Someone who:
So, what does a "day in the life" of a Medical Bill Review Auditor look like? You will have the opportunity to obtain maximum savings for clients by accurately entering data and reviewing medical bills according to state laws, fee schedules, and other guidelines. Most of your day will include seated computer work performing data entry on workers' compensation-related medical bills. Want to listen to podcasts or music via headphones while you work? Go for it. This position does have production and accuracy performance metrics, so if you are someone who thrives and is motivated by structured individual performance goals, this position may be a good fit.
Don't have experience in medical billing? No problem- some of our best employees come from retail, food service, and other industries or sectors. What unites us is our commitment to excellence and our entrepreneurial spirit. If this resonates with you, please come join us and help us achieve A Better Way!
Requirements
Benefits
Rising Medical Solutions is a national managed care firm that provides medical cost containment and medical care management services to the workers' compensation, auto, liability, and group health markets. Our client base includes insurance carriers, TPAs, self-insured employers, and public-sector and government entities of varying sizes from small to large tier.
Since 1999, our managed care services have positively impacted hundreds of thousands of employee lives and saved billions in total claim costs for payers across the country. Our flagship bill review service and technologies consistently deliver over 60% in national bill review savings, which includes application of fee schedule/UCR rates, network discounts, nurse audits, provider negotiations, and embedded fraud detection capabilities.
However, our solutions portfolio goes far beyond the standard repricing of medical bills. Our integrated programs deliver clinical and cost-saving expertise before, during, and after treatment. Our proprietary VISION™ platform is the industry’s only multi-product, multi-line, single-sign-on, medical management enterprise system. VISION™ provides claims professionals with unprecedented ancillary referral and medical management capabilities across the entire medical care continuum, from early intervention to payment processing. Together with our passionate, mission-driven employees, Rising delivers an unparalleled user experience for those providing, receiving, and paying for medical care.
Rising also directs and publishes the annual Workers’ Compensation Benchmarking Study, a national research program examining the complex forces impacting claims management in workers’ compensation today. The study has become one of the most cited research publications in the industry and has been the subject of numerous articles, webinars, and conference presentations since its 2013 inception.
