Medical Bill Reviewer I at 001 Sentry Insurance Company — Stevens Point, WI

Join our Medical Bill Reviewing team and ensure accurate processing of wage loss/medical claims data by applying laws and regulations; handle routine bills and escalate complex issues

What You'll Do

As a Medical Bill Reviewer I, you’ll perform a review of medical bills submitted into our Personal Injury Protection department to ensure correct billing and payment practices. Additionally, you’ll:

• Review, evaluate, and process Personal Injury Protection (PIP) medical bills
• Utilize knowledge of medical coding requirements; including CPT/HCPCS/Revenue codes, ICD-9/ICD-10 coding, and CMS-1500/UB-04 forms to process and pay PIP medical bills
• Follow established state and federal medical bill review rules and regulations
• Communicate with medical providers regarding payment or denial of payment
• Perform well in a production-based environment regarding timely and accurate processing of PIP medical bills
• Provide superior customer service while connecting with medical providers, vendors, and internal customer inquiries relating to medical bill processing

What it Takes

• Technical diploma or equivalent work experience
• Associate Degree in Health Informatics/Health Information/Medical Coding preferred
• 1-3 years of related work experience in a medical office, insurance environment, or medical coding beneficial
• Basic knowledge of ICD9/ICD10, CPT, HCPCS codes necessary for accurate processing
• PC knowledge including Excel as well as keyboarding, math aptitude, and organizational skills
• Proficient analytical and decision-making skills with the ability to work independently
• High level of communication, customer service, and telephone skills required
• Ability to work within deadlines, maintain confidentiality, and work with detail and a high level of accuracy is essential

What You'll Receive

• Sentry is happy to offer flexibility through a scheduled Hybrid work model. Monday and Friday work from home if you choose to, Tuesday through Thursday you’ll work in office.
• As a Sentry associate, you will have an in-office workspace and materials for your home office. In addition to the laptop, you will receive prior to your start, Sentry will provide equipment for your home office.
• Meal Subsidy available for associates who report to an office.
• 401(K) plan with a dollar for dollar match on your first eight percent, plus immediate vesting to help strengthen your financial future.
• Continue your education and career development through Sentry University (SentryU) and utilize our Tuition Reimbursement program
• Generous Paid-Time Off plan for you to enjoy time out of the office as well as Volunteer-Time off
• Group Medical, Dental, Vision, Life insurance, Parental leave, and our Health and Wellness benefits to encourage a healthy lifestyle.
• Well-being and Employee Assistance programs
• Sentry Foundation gift matching program to encourage charitable giving.

About Sentry

Talent Acquisition Specialist

Shea Supa

Equal Employment Opportunity