What are the responsibilities and job description for the Clinical Medical Bill Review Specialist | WC position at Questpro?
Remote Workers’ Compensation Medical Bill Review Specialist
RN / LPN / LVN Preferred
📍 Remote – U.S. Only
đź•’ Flexible Part-Time, Hourly, Contract, or Independent Contractor Opportunity
⏰ Central Or Eastern Time Zones Preferred
Presented by Questpro
Questpro is partnering with a boutique, nationally recognized workers’ compensation medical bill review organization seeking an experienced WC Medical Bill Review Specialist for a flexible remote opportunity.
This role is ideal for a highly analytical professional with deep workers’ compensation bill review expertise who enjoys independent work and delivering defensible savings on complex claims.
Position Overview
This opportunity averages approximately 10 hours per week initially, with potential for expanded hours or long-term/full-time conversion as business needs grow.
Key Responsibilities
For Confidential Consideration Or Additional Details, Contact
jpomelow@questpro.com
RN / LPN / LVN Preferred
📍 Remote – U.S. Only
đź•’ Flexible Part-Time, Hourly, Contract, or Independent Contractor Opportunity
⏰ Central Or Eastern Time Zones Preferred
Presented by Questpro
Questpro is partnering with a boutique, nationally recognized workers’ compensation medical bill review organization seeking an experienced WC Medical Bill Review Specialist for a flexible remote opportunity.
This role is ideal for a highly analytical professional with deep workers’ compensation bill review expertise who enjoys independent work and delivering defensible savings on complex claims.
Position Overview
This opportunity averages approximately 10 hours per week initially, with potential for expanded hours or long-term/full-time conversion as business needs grow.
Key Responsibilities
- Review complex workers’ compensation medical bills, records, and itemized statements
- Identify savings opportunities below fee schedule and UCR levels
- Perform coding and clinical analysis including CPT, HCPCS, ICD, and MUE edits
- Ensure all reductions are clearly documented, defensible, and appeal-ready
- Communicate professionally with providers regarding billing discrepancies
- Navigate bill review platforms efficiently and independently
- 3 years of dedicated workers’ compensation bill review experience strongly preferred
- Demonstrated history of achieving meaningful, defensible savings
- RN, LPN, or LVN credentials preferred but not required
- Experience with CompIQ or comparable bill review systems
- Strong analytical, documentation, and compliance skills
- Ability to work independently with minimal oversight
- Reliable with consistent turnaround times
- Detail-oriented with sound clinical judgment
- Comfortable in a fully remote flexible work environment
- Self-motivated and organized
- Competitive hourly compensation of $65–$85/hour based on experience and proven results
- Flexible weekly schedule averaging approximately 10 hours
- Opportunity for expanded hours as business needs grow
- Open to hourly, contract, or independent contractor engagement structures
- U.S.-based candidates only
- HIPAA-compliant home office and high-speed internet required
For Confidential Consideration Or Additional Details, Contact
jpomelow@questpro.com
Salary : $65 - $85