Account Receivable Analyst

At Davies North America, you will be part of a team that prides itself on innovation and excellence by combining advanced technology with top-notch professional services. As a crucial member of the global Davies Group, your role will involve assisting businesses in managing risk, enhancing operations, and leading transformation within the insurance and regulated sectors. Currently, we are seeking a dedicated Medical Bill Reviewer to join our expanding team. Your responsibilities will include but are not limited to the following: - Entering compensation fee schedules and other relevant data into the system accurately and efficiently - Adjudicating provider bills in compliance with state Workers Compensation Fee Schedule rules - Ensuring accurate data entry and maintaining satisfactory volume and error ratio - Applying guidelines and provider reimbursement contract amounts to achieve cost savings - Reviewing medical bills based on medical necessity, treatment provided, adjuster authorizations, and other factors - Utilizing Fee Schedules, online documents, and client instructions for bill review - Researching usual and customary/Fee Schedule applications as needed - Handling provider and customer inquiries via phone calls - Continuous training to enhance knowledge in medical terminology, State Fee Schedule, and relevant reference materials - Performing additional duties as assigned To excel in this role, you should possess: - Minimum of one-year experience in medical terminology/medical office settings - Proficient typing skills (60+ wpm) and accurate numerical data entry - Ability to process 120 bills per day with a 95%+ accuracy rate - Previous experience with specific states Workers Compensation Fee Schedule, CPT, ICD-10, HCPCS coding - Familiarity with various state WC programs, especially in FL, GA, CA, SC, NC, VA, AL, and TN - Proficiency in Microsoft Office Suite - Strong communication skills, both verbal and written - Excellent time management and organizational abilities - Capability to multitask, prioritize, and meet deadlines in a fast-paced environment - Team player with exceptional interpersonal skills - Attention to detail and problem-solving capabilities - Ability to work independently and collaboratively with minimal supervision - Discretion in handling sensitive and confidential information - Fluency in English About Davies: Davies is a specialized professional services and technology firm that collaborates with leading insurance, highly regulated, and global businesses. Our mission is to assist clients in managing risk, improving core business processes, and driving growth. With a global team of over 8,000 professionals across ten countries, our services cover claims, underwriting, distribution, regulation & risk, customer experience, human capital, digital transformation & change management. Over the past decade, Davies has experienced significant growth, focusing on research & development, innovation & automation, colleague development, and client service. We currently serve more than 1,500 insurance, financial services, public sector, and highly regulated clients.,