Description

At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.

Be part of a team that makes a real difference.

This is a full-time, remote position with a (MondayFriday) schedule. 

Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, Employee Assistance and Referral Program, and hands-on training through a combination of self-paced modules, peer shadowing, and on-the-job coaching.

As a Medical Bill Review Specialist 3, you'll support a specialized bill review team focused on accurate, timely processing of workers' compensation medical bills for a key client. Using tools such as SmartAdvisor and RISC-VAX, you'll manage daily production assignments, ensure data accuracy, and apply client guidelines and internal workflows so bills are priced correctly. In this role, you will:

Review, audit, and process workers' compensation medical bills in accordance with client guidelines, SOPs, and internal system rules.Use SmartAdvisor and RISC-VAX to navigate accounts, validate bill details, and complete required bill review steps.Verify data entry accuracy (e.g., provider details, dates of service, codes, charges) and resolve discrepancies to support clean, accurate processing.Apply appropriate pricing/fee schedule methodology and confirm bills price correctly based on established rules within the system.Manage a daily work assignment in a production-focused environment, meeting quality and timeliness expectations.Monitor and respond to emails and internal requests in a professional and timely manner (limited direct client contact; communication may occur via email).Document work clearly and maintain organized records to support downstream processing and audit readiness.Participate in training and ramp-up activities, including learning system navigation, reviewing guidelines/SOPs, and shadowing experienced team members.Complete other duties as assigned to support team operations and service delivery.

Education: High school diploma or equivalent.Experience: Prior medical bill review experience preferred; workers' compensation bill review experience preferred. Client-specific experience is a plus.Skills: Strong attention to detail and accuracy in data entry. Ability to review and apply client guidelines/SOPs and ensure bills are priced correctly based on fee schedule. Proficiency with Microsoft Office (Excel, Word, Outlook). Strong written and verbal communication skills; customer service mindset. Ability to manage a daily production-focused work assignment and work independently.Certifications, Licenses, Registrations: None requiredInternet: Must have reliable internet.

PI282225988