Ethos ยท 1 month ago
Bill Review Negotiation Specialist
United States
Full-time
Remote
Mid Level
$20/hr - $22/hr
3+ years expEthos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data for decision-making. They are seeking a Bill Review Negotiation Specialist to ensure accuracy and cost savings within the Workers' Compensation bill review process, focusing on reviewing, auditing, and negotiating medical bills.
Cyber SecurityInformation TechnologySecurity
Responsibilities
Contact and negotiate with medical providers to secure additional savings through signed agreements
Review, audit, and process Workers' Compensation medical bills using industry-standard methodologies (Medicare, UCR, and state fee schedules)
Maintain accurate records of negotiations and provider interactions
Research and interpret state fee schedules, customer guidelines, and regulations
Process reconsiderations and disputed bills in a timely and accurate manner
Provide high-quality customer service and resolve inquiries efficiently
Maintain strict confidentiality and compliance with company policies and industry regulations
Perform other related duties as assigned
Qualification
Required
High school diploma or equivalent required
Minimum of 3 to 5 years of experience in medical bill review, with a minimum of 1 year of experience in customer service required
An equivalent combination of education and experience is required
Knowledge of CPT, ICD-10, and HCPCS coding required
Strong oral and written communication skills
Proven negotiation and customer service abilities
Proficient with Microsoft Office Suite and other computer applications
Excellent organizational skills with the ability to multi-task
Team player with strong interpersonal skills
Discretion, confidentiality, and attention to detail
Preferred
Associate degree or higher preferred
Experience with Conduent Strataware software, or other comparable platforms, preferred
Certification in medical coding or medical terminology preferred but not required
Company
Ethos
Ethos Risk Services is a technology-backed, full-service claims management company.
1001-5000 employees
H1B Sponsorship
Ethos has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
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Trends of Total Sponsorships
2025 (9)
2024 (11)
2023 (8)
2022 (27)
2021 (17)
2020 (9)
Funding
Current Stage
Late StageTotal Funding
unknown2020-01-01Private Equity
Recent News
2025-11-04
Columbia West
2025-10-11
2022-01-12
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