What are the responsibilities and job description for the Medical Bill Review Administrator position at Managed Care Network, Inc.?
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.
This specific position is for an Administrative Assistant in the Bill Review Department. The company and this department offer growth opportunities for a growth minded, quality driven individual.
Job Summary:
The Bill Review Administrator plays a vital role in the medical claims review process for Workers’ Compensation and No-Fault insurance cases. This position is responsible for ensuring the accurate intake, organization, and documentation of medical bills and assisting with compliance and communication between internal teams and external partners. The ideal candidate is detail-oriented, organized, and has strong communication and administrative skills.
Job Duties and Responsibilities:
- Coordinate and track bill review inventory and claim status
- Review medical bills and supporting documentation for accuracy, compliance, and proper fee schedule application.
- Track, monitor, and prioritize progress, identifying urgent cases, balancing workloads, and ensuring timely completion of high‑priority items.
- Perform case and claims reviews to ensure documentation supports billed services.
- Communicate with adjusters, coders, and internal teams to resolve billing or documentation issues
- Enter, update, and maintain accurate claim and billing data within Strataware or similar bill review platforms
- Ensure all bills comply with NYS Workers’ Compensation and No-Fault regulations
Qualifications:
- 1 year of medical billing or bill review experience
- Working knowledge of NYS Workers’ Compensation and No-Fault billing practices
- Familiarity with medical terminology, CPT, ICD-10, and HCPCS codes
- Strong computer skills, including Microsoft Excel and Outlook
- Excellent attention to detail and organizational skills
- Ability to manage multiple tasks and prioritize in a fast-paced environment
Job Type: Full-time
Pay: $41,600.00 - $43,680.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: Hybrid remote in Grand Island, NY 14072
Salary : $41,600 - $43,680