Full Time
Managed Care Network, Inc.
Hybrid
At Managed Care Network, Inc., we’re a dynamic and growing managed care company committed to delivering exceptional service in the Workers’ Compensation and Auto Insurance industries. With a team of over 100 dedicated professionals, we’re expanding—and we want you to be part of our journey.
Position Overview: The Fee Schedule Specialist is responsible for the review, analysis, and processing of medical bills for New York State Workers’ Compensation and Auto/No-Fault claims. This role ensures accurate reimbursement determination through the application of state fee schedules, Medicare methodologies, PPO contracts, and client-specific guidelines. The ideal candidate will possess strong analytical skills, attention to detail, and a working knowledge of medical coding, billing practices, and payer-side bill review operations. Candidates with CPC-A or CPB certification are strongly encouraged to apply. Key Responsibilities: • Review and analyze medical bills, records, and...