Job Summary: The Bill Processor is responsible for the timely and accurate processing of workers' compensation medical bills, invoices, and reconsiderations in accordance with Bureau of Workers' Compensation (BWC) guidelines. This position reviews and enters billing information, maintains quality and productivity standards, and collaborates with internal departments to resolve billing issues. The Bill Processor also provides customer service and support to healthcare providers, attorneys, and injured workers regarding bill payment inquiries. Success in this role requires strong attention to detail, knowledge of workers' compensation billing practices, data entry proficiency, confidentiality, and a commitment to delivering excellent customer service.

QUALIFICATIONS

• Knowledge and skills at a level normally acquired through the completion of a High School education or comparable work experience
• Ability to handle sensitive information and maintain a high level of confidentiality
• Working knowledge of Bureau of Workers Compensation policies and procedures as they relate to bill payment
• Working knowledge of ICD and CPT codes as they relate to Workers Compensation Injuries
• Coding certification would be plus but not required
• Excellent written and communication skills
• Excellent Customer Service Skills
• Experience with various computer programs and data entry skills

ROLE AND RESPONSIBILITIES

• Reports directly to the Operations Manager or the Billing Team Leader
• Process incoming bills/invoices and reconsiderations that are received by fax, mail or electronically within the timeframes as set by the Bureau of Workers Compensation
• Required to meet all quality and production requirements
• Maintain communication between the billing department and other areas of the Managed Care Organization to resolve billing issues
• Provide customer service for bill related calls from providers, attorneys and Injured Workers
• Assist with other departments as needed to facilitate the Managed Care Organization’s work flow
• Demonstrates Sheakley Core Values
• All other duties as assigned by Supervisor, Team Leader and/or Management