Bill Review Audit Nurse, Bill Review Processor and Bill Review Customer Service Representative

We are Innovative Claims Strategies LLC a dynamic medical claims management organization, founded in 2006 to provide early intervention cost containment services to the insurance industry. ICS offers an alternative service model for delivering a fully-integrated managed care solution to carriers in New Jersey, New York and Pennsylvania for Auto and WC claims. The company rewards innovation and invests in individuals who are willing to be measured by the results of their efforts. The following career opportunities are available:

  The Audit Nurse reviews for medical necessity, causal relatedness and appropriateness of the services provided. The position requires an RN/LPN with CPC or equivalent. Bill Review Processor  reviews and enters data for Professional (Physician), ASC, DME and Hospital bills. The position requires a High School Diploma and CPC or equivalent. Customer Service Representative is accountable for providing timely and accurate customer service. The position requires a High School Diploma.

The above positions require at least two years of experience in the following

areas:  knowledge of NJ PIP (NY, PA, & FL a plus), medical bill review  in ICD-9/CPT coding, UB-92, HFCA, high level computer skills, knowledge of medical terminology, excellent  communication skills and problem solving skills.       

 

 

This Iselin, NJ–based Company offers competitive compensation / benefits packages including bonus opportunity, medical/dental/401 (k) plan.  ICS is an Equal Opportunity Employer.