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Job Description MEDICAL BILL REVIEWER-100% REMOTE ( EST or CST time zone ) Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve. PURPOSE: Responsible for handling manual processes involved in applying PPO guidelines to medical bills in a timely and accurate manner. ESSENTIAL JOB FUNCTIONS • Identify a provider as participating or non-participating when the automated matching process is not able to make that determination., • Accurately apply PPO guidelines to those bills where a participation match has been made when the automated re-pricing process is not able to apply the guidelines., • Communicate with clients and internal Bill Review staff via e-mail or phone:, • To request bill images or documentation when necessary to properly apply a PPO discount., • To question keying errors or discrepancies and request corrections to properly apply a PPO discount., • Communicate with the PPO Application team via e-mail, phone, or in person regarding questions and concerns about specific bills or general policies and procedures., • Utilize appropriate software and documents to calculate contracted rates, which may include, but is not limited to the calculation of AWP, Medicare, or applicable state or federal-mandated fee schedule. REQUIRED EXPERIENCE AND SKILLS: • Experience with medical bill processes, including familiarity with CPT Codes, Revenue Codes, Bill Types, ICD-9 and/or ICD-10 Codes, State Fee Schedules, UCR, and PPO., • Experience working with Windows-based software /applications., • Ability to type with accuracy., • Ability to review documentation and make decisions on how to proceed based on department policies and procedures., • Desire to work well with others., • Motivation to be a self-starter. EEOC Statement: Medlogix provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Planning Associate 1 (School Facilities Project Reviewer).Under direction of the Director, Office of School Facilities, assists in developing short and long-term education and/or financial plans; assists in conducting analyses and evaluations of curricula and other education programs, surveys, needs

Quality Assurance Batch Record Reviewer – Newtown, PA.

Quality Assurance Batch Record Reviewer Newtown, PA.

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.Pennsylvania, Michigan and West Virginia.We are a gambling technology company launching a new service and looking for individuals.You will earn $800 to $1,200 for ~20 hours with the opportunity for ongoing work.This

Quality Assurance Batch Record Reviewer – Newtown, PA.

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.Pennsylvania, Michigan and West Virginia.We are a gambling technology company seeking talented and motivated individuals to join.This is NOT like other job posts you’ve responded to! Our team thrives on hard work,

Quality Assurance Batch Record Reviewer – Newtown, PA.

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.Pennsylvania, Michigan and West Virginia.We are a gambling technology company launching a new service and looking for individuals.You will earn $800 to $1,200 for ~20 hours with the opportunity for ongoing work.This

Quality Assurance Batch Record Reviewer Newtown, PA.

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.Pennsylvania, Michigan and West Virginia.We are a gambling technology company launching a new service and looking for individuals.You will earn $800 to $1,200 for ~20 hours with the opportunity for ongoing work.This

Healthcare facility is now seeking.Benefits (including Paid time off).Join a fantastic company with opportunity to further your career.Experience an environment with an engaged management team, support and empowerment.We care for our employees so they in turn could care for our residents!.Nursing an

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.Pennsylvania, Michigan and West Virginia.We are a gambling technology company seeking talented and motivated individuals to join.This is NOT like other job posts you’ve responded to! Our team thrives on hard work,

Healthcare facility is now seeking.Benefits (including Paid time off).Join a fantastic company with opportunity to further your career.Experience an environment with an engaged management team, support and empowerment.We care for our employees so they in turn could care for our residents!.Nursing an

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.Pennsylvania, Michigan and West Virginia.We are a gambling technology company seeking talented and motivated individuals to join.This is NOT like other job posts you’ve responded to! Our team thrives on hard work,

Healthcare facility is now seeking.Benefits (including Paid time off).Join a fantastic company with opportunity to further your career.Experience an environment with an engaged management team, support and empowerment.We care for our employees so they in turn could care for our residents!.Nursing an

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.Pennsylvania, Michigan and West Virginia.We are a gambling technology company launching a new service and looking for individuals.You will earn $800 to $1,200 for ~20 hours with the opportunity for ongoing work.This

Healthcare facility is now seeking.Benefits (including Paid time off).Join a fantastic company with opportunity to further your career.Experience an environment with an engaged management team, support and empowerment.We care for our employees so they in turn could care for our residents!.Nursing an

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.Pennsylvania, Michigan and West Virginia.We are a gambling technology company launching a new service and looking for individuals.You will earn $800 to $1,200 for ~20 hours with the opportunity for ongoing work.This

Healthcare facility is now seeking.Benefits (including Paid time off).Join a fantastic company with opportunity to further your career.Experience an environment with an engaged management team, support and empowerment.We care for our employees so they in turn could care for our residents!.Nursing an

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.Pennsylvania, Michigan and West Virginia.We are a gambling technology company launching a new service and looking for individuals.You will earn $800 to $1,200 for ~20 hours with the opportunity for ongoing work.This

Healthcare facility is now seeking.Benefits (including Paid time off).Join a fantastic company with opportunity to further your career.Experience an environment with an engaged management team, support and empowerment.We care for our employees so they in turn could care for our residents!.Nursing an

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.Pennsylvania, Michigan and West Virginia.We are a gambling technology company seeking talented and motivated individuals to join.This is NOT like other job posts you’ve responded to! Our team thrives on hard work,

Healthcare facility is now seeking.Benefits (including Paid time off).Join a fantastic company with opportunity to further your career.Experience an environment with an engaged management team, support and empowerment.We care for our employees so they in turn could care for our residents!.Nursing an

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.Pennsylvania, Michigan and West Virginia.We are a gambling technology company launching a new service and looking for individuals.You will earn $800 to $1,200 for ~20 hours with the opportunity for ongoing work.This

Healthcare facility is now seeking.Benefits (including Paid time off).Join a fantastic company with opportunity to further your career.Experience an environment with an engaged management team, support and empowerment.We care for our employees so they in turn could care for our residents!.Nursing an

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.Pennsylvania, Michigan and West Virginia.We are a gambling technology company seeking talented and motivated individuals to join.This is NOT like other job posts you’ve responded to! Our team thrives on hard work,

At Care Options for Kids, we provide 1:1 care in the home, and we do things a little differently.There's no revolving door of patients or hospital setting chaos blinking call lights, scurrying doctors, and wards bursting at the seams.Instead, you work with self-sufficient autonomy, empowered to mak

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.Pennsylvania, Michigan and West Virginia.We are a gambling technology company seeking talented and motivated individuals to join.This is NOT like other job posts you’ve responded to! Our team thrives on hard work,

We are currently looking for RN's in the Bucks and Montgomery County area who have experience working with Trach and Vent Pediatric patients!.At Care Options for Kids, we provide 1:1 care in the home, and we do things a little differently.There's no revolving door of patients or hospital setting cha

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.Pennsylvania, Michigan and West Virginia.We are a gambling technology company launching a new service and looking for individuals.You will earn $800 to $1,200 for ~20 hours with the opportunity for ongoing work.This

We are currently looking for RN's in the Bucks and Montgomery County area who have experience working with Trach and Vent Pediatric patients!.At Care Options for Kids, we provide 1:1 care in the home, and we do things a little differently.There's no revolving door of patients or hospital setting cha

Candidates for this work-from-home position must be 21 or older, have an SSN, own a.Pennsylvania, Michigan and West Virginia.We are a gambling technology company seeking talented and motivated individuals to join.This is NOT like other job posts you’ve responded to! Our team thrives on hard work,

We are currently looking for RN's in the Bucks and Montgomery County area who have experience working with Trach and Vent Pediatric patients!.At Care Options for Kids, we provide 1:1 care in the home, and we do things a little differently.There's no revolving door of patients or hospital setting cha

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

We are currently looking for RN's in the Bucks and Montgomery County area who have experience working with Trach and Vent Pediatric patients!.At Care Options for Kids, we provide 1:1 care in the home, and we do things a little differently.There's no revolving door of patients or hospital setting cha

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

At Care Options for Kids, we provide 1:1 care in the home, and we do things a little differently.There's no revolving door of patients or hospital setting chaos blinking call lights, scurrying doctors, and wards bursting at the seams.Instead, you work with self-sufficient autonomy, empowered to mak

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

At Care Options for Kids, we provide 1:1 care in the home, and we do things a little differently.There's no revolving door of patients or hospital setting chaos blinking call lights, scurrying doctors, and wards bursting at the seams.Instead, you work with self-sufficient autonomy, empowered to mak

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

We are currently looking for RN's in the Bucks and Montgomery County area who have experience working with Trach and Vent Pediatric patients!.At Care Options for Kids, we provide 1:1 care in the home, and we do things a little differently.There's no revolving door of patients or hospital setting cha

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

At Care Options for Kids, we provide 1:1 care in the home, and we do things a little differently.There's no revolving door of patients or hospital setting chaos blinking call lights, scurrying doctors, and wards bursting at the seams.Instead, you work with self-sufficient autonomy, empowered to mak

We are currently looking for RN's in the Bucks and Montgomery County area who have experience working with Trach and Vent Pediatric patients!.At Care Options for Kids, we provide 1:1 care in the home, and we do things a little differently.There's no revolving door of patients or hospital setting cha

Employment Type:* Full time St.Mary Physicians Group, a member of Trinity Health, Mid-Atlantic, is looking for a Electrophysiology RN to join our team! * Works with providers and patients triaging phone calls to resolve questions concerning medications, health education, and,

Employment Type:* Full time Day Shift Mercy Home Health, a member of Trinity Health at Home, is seeking a dedicated Full-time Registered Nurse for our Palliative Care program.Your Opportunity:* * Provide one-to-one care with your patients in their homes.Enjoy a truly patient-

Employment Type:* Part time 12 Hour Day Shift The Registered Nurse - Cardiovascular works in a collaborative environment at St.Mary Medical Center to deliver excellent patient care as part of an interdisciplinary team providing evidence-based medicine and individualized patie