Bill Audit & Provider Relations Supervisor

Summary of Work The Medical Bill Audit & Provider Relations Supervisor creates value and makes an impact with these job duties: Serve as a contact point for the out-of-state medical community regarding medical fee schedule questions and negotiation Development and execution of memorandums of understanding, medical bill inquiries, medical bill appeals, or complaints and grievances according to statutes Development and review of WSI billing and fee schedule guidelines or executed memorandums of understanding Supervises the Medical Bill Audit & Provider Relations Departments Provide education and training Serve as a liaison between the medical community and WSI Review, draft, and implement annual fee schedules for reimbursement of the medical community for services provided to injured workers Provide weekly updates and reports on activities to the Medical Services and Pharmacy Director Minimum Qualifications To prosper in this position, a Bachelor's degree in a healthcare-related field or business field is required Six years of related work experience in medical fee schedule application is required Relevant work experience in medical fee schedule application may substitute for the education requirement on a year-for-year basis Preferred Qualifications Certified Professional Coder Knowledge of medical terminology Familiarity with the appeals process within the healthcare industry Proficient with Microsoft Office products WSI holds our agency culture in high regard.
The desired applicant must be engaging, professional, confident, forward-thinking, and supportive.
About Team ND "Far and away the best prize life offers is the chance to work hard at work worth doing.
" - Theodore Roosevelt More than 7,500 talented, hard-working people across sixty-three agencies have come together as Team North Dakota.
At Team ND, we are driven to succeed through gratitude, humility, curiosity and courage.
Our purpose is to empower people, improve lives, and inspire success.
Join us in being legendary.
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485 Application Procedures Apply online and upload the following information: cover letter (addressed to Human Resources), resume, references, and copy of college transcripts (if applicable).
All application materials must be received by the closing date to be considered for the open position.
Background checks will be conducted.
WSI staff will score all applications based on a 100-point scoring and rating system.
Applications should include information that directly addresses how the applicant meets the minimum qualifications and a summary of work.
It is very important to be thorough and detailed in the application materials.
Incomplete sections in the application will not be given credit.
Applicants with disabilities should contact Denise Osmond at 701-328-3849 in advance of applying to discuss any special provisions needed for applying or interviewing.
If you are experiencing technical difficulties with the Application Process or uploading attachments, please contact recruiter@nd.
gov or 701-328-3290.
ND Relay Number 1-800-366-6888.
Equal Opportunity Employer The State of North Dakota and this hiring agency do not discriminate on the basis of race, color, national origin, sex (including sexual orientation and gender identity), genetics, religion, age or disability in employment or the provisions of services and complies with the provisions of the North Dakota Human Rights Act.
As an employer, the State of North Dakota prohibits smoking in all places of state employment in accordance with N.
D.
C.
C.
Sect.
23-12-10.