Nurse Itemized Bill Reviewer (Medtech)

TL;DR

Nurse Itemized Bill Reviewer (Medtech): Reviewing facility insurance claims to determine accurate charges by analyzing UB-04 forms and medical documentation. Focus on applying payer policies, identifying billing discrepancies, and ensuring compliance with industry coding standards.

Location: Must be based in the US

Salary: $80,000 - $90,000

Company

hirify.global is a healthcare intelligence company providing an AI-powered platform to improve payment transparency and efficiency for health plans.

What you will do

• Perform in-depth reviews of medical claims using UB-04 and itemized statements.
• Verify the accuracy of line-item charges against client policies and industry standards.
• Validate system denials and recommend enhancements to improve claim processing efficiency.
• Collaborate with internal teams on content development, automation, and research projects.
• Maintain high standards of accuracy and productivity to meet client turnaround times.

Requirements

• Active RN, LPN, or LVN license in good standing
• Minimum 1 year of experience in itemized bill review
• Minimum 2 years of experience in healthcare billing and coding
• Proficiency in applying national coding guidelines including CPT, ICD-9/10, and HCPCS
• Strong analytical, problem-solving, and organizational skills
• Must be based in the US

Culture & Benefits

• Fully remote work environment
• Comprehensive medical, dental, and vision insurance
• 401(k) plan with company match
• FSA/HSA accounts and tuition reimbursement
• Flexible and trusting work environment