Bill Review Complex Analyst, Risk Management at Publix Super Markets, Inc.

Posted in Admin - Clerical 30 days ago.

Type: Full-Time
Location: Lakeland, Florida





Job Description:

Processing of workers compensation medical claims, including adjudication of claims to meet state laws, data entry of bills, filing of bills, correspondence, and all other duties to make sure that bills are handled and paid in a timely manner.


  • Associate’s degree Or equivalent experience 

  • 1-year general office with experience with Windows based programs

  • National Certification for CPT Coding

  • Knowledge of CPT and ICD-9 codes

  • Knowledge of multiple state Worker’s Compensation Fee Schedules for the states in which Publix does business in

  • Knowledge of Medical Terminology

  • Basic knowledge of Microsoft word, excel, power point, access and Outlook

  • Must have excellent attendance and punctuality record

  • Professional telephone etiquette

  • Excellent verbal and written communication skills

  • Must have strong organizational skills

  • Ability to handle a large volume of work in a fast paced environment

  • Ability to manage multiple tasks

  • Data entry experience preferred

  • Basic knowledge of office equipment and their operation

  • Good human relation skills (the ability to work well with others and to be a team player)

  • Must show enthusiasm, initiative and pride in work, and

  • Commitment to Publix and our mission


 


  • BS degree or certificate of completion of a medical terminology or medical billing program

  • 1 year in medical or insurance services, with advanced knowledge of CPT and ICD-9 codes, and knowledge of medical terminology

  • Bilingual in English and Spanish


  • Employee stock ownership plan that contributes Publix stock to associates each year at no cost

  • An opportunity to purchase additional shares of our privately-held stock

  • 401(k) retirement savings plan

  • Group health, dental and vision plans plan

  • Paid Time Off

  • Paid Parental Leave

  • Short- and long-term disability insurance

  • Tuition reimbursement

  • Free hot lunches (buffet-style) at facilities with a cafeteria

  • Visit our website to see all of our benefits: Benefits - Jobs (publix.com)





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