Machinify

3 months ago

Nurse Itemized Bill Reviewer (IBR Analyst)

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 4 hours agoStatus: Live

Job Summary

Nurse Itemized Bill Reviewer (IBR Analyst) reviews facility insurance claims to determine true and accurate charges using UB-04 and itemized statements, applying payer policies and industry standards. Requires clinical expertise and prior itemized bill review experience; collaborates with Senior Analysts and cross-functional teams to improve claim processing and ensure compliance and timely client turnaround.

Location: United States

Workplace: Remote

Employment Type: Full time

Job Function: Healthcare (Clinical, Medical, Wellness)

Key Responsibilities

•Perform an in-depth review of medical claims utilizing the UB-04 and detailed itemized statement to ensure the validity of line-item charges.
•Verify accuracy of the itemized charges to be reimbursed according to client policy and industry standards.
•Validate automatic system denials and create additions to enhance efficient processing of IBR claims.
•Recommend system enhancements and edits to improve claim review efficiency.
•Comply with company standards regarding accuracy and productivity to manage daily assignments and meet client turnaround times.

Pay and Benefits

Salary: USD 80,000 - 90,000 annually

Perks:Health InsuranceDentalVision401kRemote Work

Key Requirements

•Active RN, LPN, or LVN license in good standing
•1+ years of experience in itemized bill review
•2+ years of healthcare billing and coding experience
•Experience applying payer policies and CPT/ICD-9/10/HCPCS guidelines
•Ability to research and verify billing and coding accuracy

Experience:HealthcareHealthcare billingClaims

Skills:Attention to detailCommunicationProblem-solvingOrganizationIndependence

Licenses:RNLPNLVN

Certifications:RNLPNLVN

Languages:English

Tech Stack:UB-04Itemized billingAutomationMicrosoft OfficeTeams

Company Brief

Machinify

Industry: Industrial Automation

Website

Loading job details...

Preparing the role view and application actions.

Machinify

3 months ago

Nurse Itemized Bill Reviewer (IBR Analyst)

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 4 hours agoStatus: Live

Job Summary

Location: United States

Workplace: Remote

Employment Type: Full time

Job Function: Healthcare (Clinical, Medical, Wellness)

Key Responsibilities

•Perform an in-depth review of medical claims utilizing the UB-04 and detailed itemized statement to ensure the validity of line-item charges.
•Verify accuracy of the itemized charges to be reimbursed according to client policy and industry standards.
•Validate automatic system denials and create additions to enhance efficient processing of IBR claims.
•Recommend system enhancements and edits to improve claim review efficiency.
•Comply with company standards regarding accuracy and productivity to manage daily assignments and meet client turnaround times.

Pay and Benefits

Salary: USD 80,000 - 90,000 annually

Perks:Health InsuranceDentalVision401kRemote Work

Key Requirements

•Active RN, LPN, or LVN license in good standing
•1+ years of experience in itemized bill review
•2+ years of healthcare billing and coding experience
•Experience applying payer policies and CPT/ICD-9/10/HCPCS guidelines
•Ability to research and verify billing and coding accuracy

Experience:HealthcareHealthcare billingClaims

Skills:Attention to detailCommunicationProblem-solvingOrganizationIndependence

Licenses:RNLPNLVN

Certifications:RNLPNLVN

Languages:English

Tech Stack:UB-04Itemized billingAutomationMicrosoft OfficeTeams

Company Brief

Machinify

Industry: Industrial Automation

Website