Medical Bill Reviewer
Not Disclosed•Full-TimeOn-site
location_onCuster Road, Plano, Collin County, Texas, 75023, United States
The Reny Company is a rapidly growing health care cost containment firm dedicated to helping clients save money and navigate the evolving health care system. We specialize in medical bill review and negotiation services for workers' compensation, non-subscribers, third-party administrators, and maritime clients.
As a Bill Reviewer, you will serve as a critical bridge between complex medical data and accurate claims processing. This role combines deep experience in health insurance and medical billing with a passion for service excellence. Your primary mission is to support the Claims team by analyzing medical, hospital, durable medical equipment, pharmacy, and home health bills to determine billing accuracy and appropriateness.
You will leverage intelligent software alongside your expertise in medical code billing, claims processing rules, and state and Medicare adjustment reimbursement principles. Beyond analysis, you will play an educational role by training providers on billing and documentation standards and flagging unusual or emerging billing anomalies to management. Accuracy is paramount; you will ensure the highest level of data integrity within our bill review system to facilitate seamless claims processing.
We are looking for candidates with specific educational backgrounds and hands-on medical bill review experience. Please note that we will not consider applications from candidates who do not meet these strict education and experience requirements. If you possess the necessary credentials and background, please proceed with your application.
The Reny Company is an Equal Opportunity Employer. Employment decisions are based solely on merit, qualifications, and abilities. We do not discriminate based on race, color, religion, sex, national origin, ancestry, citizenship, age, handicap, disability, marital status, medical condition, or any other characteristic protected by applicable law.
Please be aware that this is an on-site position and is not available as a remote role.
Work model: On-site
Custer Road, Plano, Collin County, Texas, 75023, United States
Plano, Texas
Two or more years of experience in a medical bill review analyst position. Prior experience in a payer environment working with claims systems and bill review software. Experience with Medical Bill Review. High school diploma or equivalent, college preferred. Trained in ICD10. Workers' Compensation experience. Fee Schedule knowledge and Medicare experience.
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Skills: Medical Bill Review, Medical Coding, Claims Processing, CMS-1500, Ub-92, Ubo4, DWC-9, DWC-10, CPT, Icd-9.
Education: Associates degree or equivalent work experience; High school diploma or equivalent, college preferred.
Reny Company operates as a privately held national medical managed care firm based in Plano, Texas. The organization specializes in designing programs that reduce costs associated with non-subscribers, workers compensation, liability, P&I, and group medical claims within the hospitals and health care sector. By working directly with clients, the firm delivers innovative, tailored solutions aimed at managing risk and controlling expenses.
The company offers a comprehensive suite of services including medical bill review, national, regional, and specialty networks of preferred healthcare providers, and disability management programs. These offerings combine medical management technologies with cost containment strategies to address diverse client needs. Whether an organization requires a fully integrated workers compensation program or unbundled services such as bill review or provider network access, Reny Company provides the necessary support. The firm focuses on helping customers stay ahead of their costs through strategic medical management and risk reduction initiatives.
Browse more roles: All Reny Company jobs, healthcare & nursing jobs on Recrutus.
Experience
2+ yrs (Mid Level)
Education
Associates degree or equivalent work experience
Job Type
Full-Time