Clinical Medical Bill Review Specialist | WC

Remote Workers’ Compensation Medical Bill Review SpecialistRN / LPN / LVN Preferred📍 Remote – U.S. Only🕒 Flexible Part-Time, Hourly, Contract, or Independent Contractor Opportunity⏰ Central Or Eastern Time Zones PreferredPresented by QuestproQuestpro 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 OverviewThis 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 independentlyQualifications 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 oversightProfessional Profile Reliable with consistent turnaround times Detail-oriented with sound clinical judgment Comfortable in a fully remote flexible work environment Self-motivated and organizedCompensation & Work Requirements 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 requiredLearn More / ApplyFor Confidential Consideration Or Additional Details, Contactjpomelow@questpro.com