Paradigm · 1 month ago
Bill Review Specialist
United States
Full-time
Remote
Mid, Senior Level
$21/hr - $31/hr
5+ years expParadigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company is seeking a full-time, remote Bill Review Specialist responsible for obtaining, reviewing, processing, and auditing outstanding medical billing for accuracy and proper payment.
Health CareHospitalMedical
Responsibilities
Respond to billing inquiries and payment questions from internal teams, providers, and clients via phone, email, and mail
Research and resolve issues related to billing discrepancies, pricing accuracy, and outstanding incurred but not reported (IBNR) bills
Perform data entry of bills into the bill review system and assist with appeals and reconsiderations
Analyze claim documentation, fee schedules, and savings calculations for accuracy
Communicate effectively with providers to educate on billing processes and facilitate payment resolution
Participate in interdepartmental meetings and support integrated projects
Maintain up-to-date knowledge of regulatory, industry, and contractual requirements
Ensure compliance with Paradigm’s information security policies
Qualification
Required
High School Diploma
5 years customer service experience with a minimum of 2 years worker's comp, healthcare, claims and/or bill review experience
Proficiency in Microsoft Word, Excel, and Outlook
Strong organizational and analytical skills
Excellent oral communication and phone presence
Ability to interpret instructions, resolve problems, and manage abstract and concrete variables
Preferred
Successful completion of continuing education in insurance, medical terminology/coding, and/or accounting
Knowledge of workers' comp billing, ICD-9/ICD-10, CPT, HCPCS, RVS, U&C, and fee schedules
Benefits
Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
Financial incentives – Paradigm’s financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.
Volunteer time– We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
Learning and development: One of Paradigm’s core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.
Company
Paradigm
Paradigm achieves leading clinical and financial results for catastrophic and complex claims.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Neuberger Berman Capital Solutions
2025-07-02Private Equity
2018-09-20Acquired
Leadership Team
D
D. Nathan
Founder
Recent News
2025-12-10
2025-07-02
Company data provided by crunchbase