Demo

Bill Review Nurse

Summit Consulting, LLC
Lakeland, FL Full Time
POSTED ON 3/27/2025
AVAILABLE BEFORE 5/26/2025

Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers’ comp, we strive to provide an atmosphere of constant growth and development for our employees.

Summit provides workers’ compensation programs and services to thousands of employers throughout the Southeast.

Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it’s underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise.

It’s one thing to know workers’ comp. It’s another to know people. But knowing both? That creates an altogether different experience.

So, if you’re ready for an altogether different workplace experience, get to know the people who know workers’ comp. Apply today.

Essential Job Functions and Responsibilities

  • Reviews Facility and Professional bills as it compares with medical records, diagnosis & agreements for appropriateness or inconsistencies.
  • Negotiates Pre-Surgical Services.
  • Performs audits seeking potential leakage and/or system or procedural improvements.
  • Provides professional advice and expertise to Claims staff in developing and providing medical and cost control procedures.
  • Provides technical advice to lower-level associates and other functional areas.
  • Assists with special projects as needed
  • May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.
  • Performs other duties as assigned.
  • The person hired for this position may work out of the Lakeland, FL office which offers a hybrid work environment of 3 days in the office and 2 days' work from home or may work full-time remote depending on availability.

#LI-Hybrid

Job Requirements

Education: Bachelor’s degree in Healthcare Management, Nursing, or a related field. R.N. (Registered Nurse) required.

Scope of Job/Qualifications:

  • RN license required

  • Experience and working knowledge of health insurance; Workers Compensation a plus

  • CPC certification

  • Understanding of hospital coding & bills rules

  • Highly organized

  • Analytical with ability to solve complicated multi-faceted problems

Company:

SCI Summit Consulting, LLC

Benefits:

Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs.


We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees.


Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.

If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

What is the career path for a Bill Review Nurse?

Sign up to receive alerts about other jobs on the Bill Review Nurse career path by checking the boxes next to the positions that interest you.
Income Estimation: 
$77,596 - $95,368
Income Estimation: 
$103,451 - $147,195
Income Estimation: 
$140,279 - $184,407
Income Estimation: 
$95,686 - $120,121
Income Estimation: 
$116,256 - $149,125
Income Estimation: 
$77,596 - $95,368
Income Estimation: 
$103,451 - $147,195
Income Estimation: 
$140,279 - $184,407
Income Estimation: 
$95,686 - $120,121
Income Estimation: 
$116,256 - $149,125
Income Estimation: 
$69,572 - $86,851
Income Estimation: 
$103,451 - $147,195
Income Estimation: 
$140,279 - $184,407
Income Estimation: 
$95,686 - $120,121
Income Estimation: 
$116,256 - $149,125
Income Estimation: 
$64,521 - $80,208
Income Estimation: 
$103,451 - $147,195
Income Estimation: 
$140,279 - $184,407
Income Estimation: 
$95,686 - $120,121
Income Estimation: 
$116,256 - $149,125
Income Estimation: 
$90,669 - $116,273
Income Estimation: 
$103,451 - $147,195
Income Estimation: 
$140,279 - $184,407
Income Estimation: 
$95,686 - $120,121
Income Estimation: 
$116,256 - $149,125
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Job openings at Summit Consulting, LLC

Summit Consulting, LLC
Hired Organization Address Fairmont, WV Full Time
Claims Technical Director – Commercial Auto Bodily Injury Please make an application promptly if you are a good match fo...
Summit Consulting, LLC
Hired Organization Address Fairmont, WV Full Time
Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Gr...
Summit Consulting, LLC
Hired Organization Address Washington, DC Part Time
Job Description Job Description Executive Assistant - Part Time Washington DC Area Summit Consulting, LLC, is a quantita...
Summit Consulting, LLC
Hired Organization Address Cincinnati, OH Full Time
Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Gr...

Not the job you're looking for? Here are some other Bill Review Nurse jobs in the Lakeland, FL area that may be a better fit.

Bill Review Nurse

Summit, Lakeland, FL

Bill Review Analyst I

CorVel Healthcare Corporation, Tampa, FL

AI Assistant is available now!

Feel free to start your new journey!