Medical Bill Review Specialist I

Who is Federated Insurance?

At Federated Insurance, we do life-changing work, focused on our clients’ success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we’re looking for employees who want to make a difference in others’ lives, all while enhancing their own.

Federated’s culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our core principles and values. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values.

What Will You Do?

In this position, you will provide a quality and timely review of medical bills for Property & Casualty Claims. We are looking for someone who has solid judgement, analytical, and problem solving skills to utilize while reviewing and processing medical bills. This position will also service incoming calls from medical providers and third-party vendors, therefore, being customer focused with a drive to deliver courteous and professional customer service is key. Do you possess those skills, along with a keen eye for details, the ability to multitask, working in collaboration with others, and enjoy the combination of analytics and customer service? Then this could be a fit for you!

Responsibilities Include:

• Processing medical bills with prescribed authority to ensure prompt and accurate payment.
• Reviewing appropriateness of billed services to support positive Company results.
• Acquiring and maintaining knowledge of statutory regulations, systems and processes.
• Responsible for auditing bill review system edits and business rules to support accurate claims' payments.
• Servicing incoming calls from medical providers and third-party vendors regarding P&C Claims support matters.
• Provide technical guidance to Claims Support Associate position, as needed.
• Establishing and maintaining effective working relationships with Federated personnel to optimize results.

Minimum Requirements:

• Two-year degree, preferred.
• Minimum of 1 year work experience utilizing medical billing or coding knowledge; or general business environment demonstrating strong customer service skills and attention to detail.
• Prefer knowledge of insurance and medical terminology.
• Excellent Microsoft Office skills including: Word, Excel and Outlook.
• Excellent customer service telephone skills.

Range is $25.20 - $34.20 per hour. Starting salary is $25.20 per hour.

What We Offer

We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You.

Employment Practices

All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization.

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