Review and analyze medical bills, medical records, and supporting documentation for accuracy, compliance, and reimbursement determination.
Apply New York State Workers' Compensation and Auto/No-Fault fee schedules, Medicare methodologies, PPO contracts, and client-specific guidelines.
Interpret

CPT, HCPCS, ICD-10

codes, modifiers, and medical terminology to identify billing discrepancies and determine appropriate reimbursement.

Generate accurate Explanations of Benefits, C-8s, C-8.1 forms, and other required regulatory notices.
Communicate professionally with providers, adjusters, clients, and internal teams to resolve billing, coding, and documentation issues.
Manage assigned bill review inventory while meeting productivity, quality, and turnaround time expectations. Compensation and Benefits
Compensation:
$50,000 to $65,000 annually.
Job Type:
Direct Hire or Temp-to-Perm after 720 hours.
Schedule:
Monday to Friday, 8:00 AM to 4:30 PM.
Location:
Grand Island, NY 14072.
Workplace Type:
Hybrid with potential to transition to fully remote.
Start Date:
ASAP.
401(k) with 3% company match.
Health insurance plans available.
Dental insurance plans available.
10 days of Paid Time Off annually.
5 New York State paid sick days.
Professional growth and development opportunities.

Equal Opportunity Employer / Disabled / Protected Veterans The Know Your Rights poster is available here: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf The pay transparency policy is available here: https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required. We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team. AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.

https:

//e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. 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