Director of Specialty Bill Review Services - Remote in Illinois

As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising’s Specialty Services unit involving complex/large medical claims; analyzing and optimizing bill review procedures and systems; and leading a team of experienced medical bill review auditors, nurse auditors, med-legal nurse, negotiators and related staff in an environment of continual performance improvement.

Here's What You'll Be Doing

• Act as Operations SME for capturing savings and fee allocation to optimize revenue.
• Participate in ongoing training to enhance own job skills, knowledge, and professional growth. Keep informed on issues and trends relating to Healthcare, Workers Compensation, Bill Review, Cost Containment, Managed Care, and related areas.
• Collaborate with other members of Rising’s management team to support core values and achieve company...