Medical Bill Processor

Sedgwick • Albany, NY • 4h ago

US Telecommuter

Full time

R77751

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

This is a detail-oriented data entry position supporting our medical bill review operations. The primary responsibility is the accurate input and maintenance of provider demographics, contract information, and medical bill details within our systems. Success in this role requires strong attention to detail, keyboarding accuracy, and the ability to work efficiently in a high-volume production environment.

Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career?

A stable and consistent work environment in an office and/or virtual setting

A training program to learn how to help employees and customers from some of the world's most reputable brands

An assigned mentor and manager who will guide you on your career journey

Career development and promotional growth opportunities through increasing responsibilities

A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs

ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

PRIMARY PURPOSE OF THE ROLE: To code provider bills; to enter pre-coded billing data into the system; and to verify the output.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE:

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.

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.

TAKING CARE OF YOU

Entry-level colleagues are offered a world class training program with a comprehensive curriculum

An assigned mentor and manager that will support and guide you on your career journey

Career development and promotional growth opportunities

A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more

Work environment requirements may include:

Physical: Computer keyboarding

Auditory/visual: Hearing, vision and talking

Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

NEXT STEPS

If your application is selected to advance to the next round, a recruiter will be in touch.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $21.00- $22.00/hr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

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.

Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

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