Medical Bill Processor

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Medical Bill Processor PRIMARY PURPOSE: To code provider bills; to enter pre-coded billing data into the system; and to verify the output. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Keys pre-coded billing data into the system. Identifies and forwards complex bills to claims examiners. Codes provider bills in accordance with claims management system notes and state guidelines. Follows workers compensation/auto guidelines to evaluate the services. Compares qualifications of service provider with service provided. Involved in system maintenance/file maintenance and interface with IT department. Assists in account batching and distribution of incoming and outgoing mail. Answers customer service calls from providers, clients and claims examiners. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing High School diploma or GED required. Experience One (1) year of general office experience or equivalent combination of education and experience required. Knowledge of medical terminology preferred. Skills & Knowledge Excellent oral and written communication PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Ability to work in a team environment Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.