Bill Review Specialist (Portland) Job at WellRithms, Inc., Portland, OR

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  • WellRithms, Inc.
  • Portland, OR

Job Description

Our Ideal Candidate

At WellRithms, were redefining medical reimbursementand we need sharp, motivated professionals to help us lead the way. As a Bill Review Specialist, youll play a critical role in ensuring fair and accurate medical billing. Youll apply WellRithms proprietary reimbursement methodology to review and process medical bills with precision. This is more than just a jobits an opportunity to deepen your expertise in medical billing and CPT coding while contributing to a mission-driven organization that values integrity and innovation. This role reports to the Bill Review Supervisor.

Responsibilities

  • Analyze and evaluate medical bills to ensure accurate application of WellRithms reimbursement methodology within required timelines.
  • Conduct detailed reviews of medical bills, supporting records, and itemized charges to determine fair and reasonable reimbursement.
  • Verify and validate CPT, HCPCS, and other medical billing codes , ensuring correct usage and alignment with industry standards.
  • Identify and correct billing discrepancies , collaborating with internal teams and leveraging established workflows to complete timely, high-quality reviews.
  • Communicate directly with medical providers to request clarification, additional documentation, or corrections needed for accurate bill processing.
  • Consistently meet daily productivity and quality assurance targets , maintaining accuracy in a fast-paced, time-sensitive environment.
  • Support departmental needs by performing additional duties as assigned, contributing to continuous workflow improvement and operational efficiency.

Qualifications

  • High School diploma is required; some college is preferred.
  • 2-3 years of experience in healthcare or a related field is preferred.
  • Knowledge of CPT coding and medical terminology.
  • Familiarity with HCFA1500 and UB-04 billing forms.
  • Excellent written and oral communication skills.
  • Ability to meet deadlines in a time-sensitive environment.
  • High comfort level with computers and software programs (MS Word, Excel, Outlook).
  • CPC (Certified Professional Coding) education or certification is preferred.

Job Tags

Part time,

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