What are the responsibilities and job description for the Bill Review Administrator position at Managed Care Network, Inc.?
At Managed Care Network, Inc., we’re a dynamic and growing managed care company committed to delivering exceptional service in the Workers’ Compensation and Auto Insurance industries. With a team of over 100 dedicated professionals, we’re expanding—and we want you to be part of our journey.
This specific position is for an Administrative Assistant in the Bill Review Department. The company and this department offer growth opportunities for a growth minded, quality driven individual.
Job Summary:
The Bill Review Administrator plays a vital role in the medical claims review process for Workers’ Compensation and No-Fault insurance cases. This position is responsible for ensuring the accurate intake, organization, and documentation of medical bills and assisting with compliance and communication between internal teams and external partners. The ideal candidate is detail-oriented, organized, and has strong communication and administrative skills.
Job Duties and Responsibilities:
- Accurately enters medical bills and supporting documents into the claim review system, ensuring completeness and accuracy for downstream processing.
- Prepares and organizes medical records, bills, Explanation of Benefits (EOBs), and provider notes for coding and fee schedule review.
- Assists CPCs by retrieving missing documentation, flagging billing anomalies, and facilitating the review of complex or questionable codes.
- Reviews and verifies the accuracy and completeness of coder-written affirmations and case summaries before final submission.
- Tracks and monitors the progress of claims throughout the bill review process, prioritizing urgent cases and maintaining workflow efficiency.
- Acts as a point of contact for coders, adjusters, providers, and administrative staff to resolve billing inquiries, documentation issues, or coding clarifications.
- Ensures that all bills and supporting documents meet regulatory requirements and company standards for both Workers’ Compensation and No-Fault claims.
- Maintains accurate records within the bill review software by logging case activity, coder notes, and key communications.
Qualifications:
- High school diploma or equivalent required; associate’s degree or healthcare-related coursework preferred
- Prior experience in medical billing, administrative, or insurance setting (1 year minimum preferred )
- Strong computer skills, proficiency with the Microsoft Office Suite, specifically Excel, and Outlook
- Medical billing or coding experience
- Familiarity with Workers’ Compensation and No-Fault insurance regulations is a plus
- Strong organizational and time-management skills
- Excellent written and verbal communication skills
- Ability to manage multiple tasks and prioritize in a fast-paced environment
Job Type: Full-time
Pay: $41,600.00 - $43,680.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
Experience:
- Medical billing: 1 year (Preferred)
Work Location: Hybrid remote in Grand Island, NY 14072
Salary : $41,600 - $43,680