Manager, Bill Review
13 days ago
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OnsiteFull-timeMid
Summary
AmTrust Financial Services, Inc. is seeking a Manager, Bill Review to provide strategic and technical oversight of medical bill review processes, manage vendor relationships, and ensure compliance with workers' compensation regulations in Dallas, TX.
About the Role
The Manager, Bill Review will develop and implement short and long-term objectives aligned with company goals, manage staff resources to meet department targets, monitor workers' compensation fee schedule changes, interpret hospital review guidelines, promote effective communication across teams, ensure quality management of medical bill vendors, provide coaching and training to field office leadership and claims adjusters, identify billing trends, prepare management reports, assess reimbursement outcomes, develop audit methodologies, maintain project schedules, participate in planning meetings, respond to billing inquiries, and deliver professional customer service.
About You
Required:
- Bachelor's Degree or equivalent experience
- 2+ years of claims experience in positions of increasing responsibility
- Knowledge of CPT, ICD-9, HCPC coding methodology
- Extensive knowledge of claims regulations and applicable laws with specific knowledge of Workers' Compensation within servicing states
- Extensive knowledge of workers compensation fee schedule guidelines, medical billing, and medical terminology
- Experience in bill processing platforms
- Excellent verbal and written communication skills
Preferred:
- 2+ years of Medical Bill Review specific experience
- Certified Professional Coder
- Previous experience in a leadership position with proven record of goal achievement and superior customer service
- Experience with State and external accreditation managed care audits and with writing and implementing program level policy and procedures
Benefits
- Competitive compensation package
- Medical & Dental Plans
- Life Insurance including eligible spouses & children
- Health Care Flexible Spending
- Dependent Care
- 401k Savings Plans
- Paid Time Off
AmTrust Financial Services, Inc., through its subsidiaries, operates as a multinational property and casualty insurance company. Founded in 1998 to provide workers’ compensation insurance to small businesses in the United States, the company now operates in three segments around the globe: Small Commercial Business Insurance, Specialty Risk and Extended Warranty, and Specialty Middle-Market Property and Casualty Program Insurance.
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Dallas, TX