Xerox Bill Review Specialist I in Irvine, California
Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, including data processing, healthcare solutions, HR benefits management, finance support, transportation solutions, and customer relationship management services for commercial and government organizations worldwide. The company also provides extensive leading-edge document technology, services, software and genuine Xerox supplies for graphic communication and office printing environments of any size. Xerox serves clients in more than 160 countries. For more information, visit www.xerox.com, www.news.xerox.com, www.realbusiness.com or www.xerox.com/businessservices.
If you meet the requirements of this position and want to work for a world-class company with a great marketplace reputation, apply today.
Analyzing billings for all State Workers’ Compensation medical claims by utilizing our proprietary software
StrataWare to determine appropriateness of services billed. Making bill review processing determinations
according to rules and regulations for each state jurisdiction and/or third party partner ( i.e. PPO).
MAIN DUTIES AND RESPONSIBILITIES (Essential Functions of the Position) Utilizes bill review skills and knowledge to evaluate medical bills and corresponding EORs for accuracy and compliance with state mandated fee schedule(s) and StrataCare business rules and practices
Reviews, analyzes, adjusts and releases queued eReview bills upon return from OCR - including
successful, duplicated and/or simple PPO bills. Refers to reference library of fee schedules, CPT, ICD-9, HCPCS and other industry publications to support findings
Assists all teams as assigned with current work volumes or backlogs resulting from increased volumes or staff shortages
Proactively identifies system and/or reports bill review issues and findings to Team Lead or Supervisor
Provides the highest level of customer service for current or prospective clients of the Company, vendors, staff, business partners or visitors
Assists and cooperates with co-workers, supervisor and management; collaborates with supervisor to develop skills and knowledge
Proactively identifies problems, provides solutions and resolves promptly; escalates more complex problems to the next management level
Manages confidential client information with discretion and good judgment in accordance with
department and company guidelines
Demonstrates a dependable work ethic
The preceding functions have been provided as examples of the types of work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of different positions and to make reasonable accommodations so that qualified employees can perform the essential functions of the position.
Xerox is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, sex, marital status, sexual orientation, physical or mental disability, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply or compete for employment with Xerox may request such accommodation(s) by sending an e-mail to firstname.lastname@example.org. Be sure to include your name, the job you are interested in, and the accommodation you are seeking.
Job: Service Delivery Healthcare
Organization: Workmans Comp Site
Title: Bill Review Specialist I
Requisition ID: 16030573
Virtual/work from home? No