Workers Compensation Fee Schedule Specialist

Company Overview :

At Managed Care Network, Inc., we're a dynamic and growing managed care company committed to delivering exceptional service in the Workers' Compensation and Auto Insurance industries. With a team of over 100 dedicated professionals, we're expanding—and we want you to be part of our journey.

Job Summary:

The Fee Schedule Specialist plays a vital role in the medical claims review process for Workers' Compensation and No-Fault insurance cases. This role is ideal for someone who thrives in a detail-oriented environment and is passionate about compliance and accuracy. Company offers growth and mobility for leadership opportunities. Seeking a strong candidate with bill review knowledge for workers comp and auto payers.

Key Responsibilities:

Accurately process medical billing claims for NYS Workers' Compensation and Auto Insurance. Communicate with insurance companies to resolve claim issues, denials, and appeals. Maintain compliance with state guidelines, fee schedules, and billing regulations. Collaborate with healthcare providers to ensure proper coding and claim submission. Stay up to date on NYS Workers' Compensation and Auto billing policies.

Qualifications:

Proven experience in Bill Review within Workers' Comp and Auto industries. Deep understanding of payer-side processes. Strong analytical and problem-solving skills. Knowledge of

ICD-10, CPT

coding, and NYS fee schedules. Excellent communication and organizational abilities.

Pay :

$40,000 - $65,000

Job Type :

Full-time Work Location :

Hybrid or Remote Pay:

$40,000.00 - $65,000.00 per year

Benefits:

401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance

Work Location:

Hybrid remote in Grand Island, NY 14072