Med Bill Examiner, III

The Hartford

Medical Bill Examiner III reviewing and adjudicating complex medical bills for an insurance company. Applying advanced billing practices and serving as a resource for lower-level examiners.

Posted 7/23/2026full-timeHartford • Connecticut • 🇺🇸 United StatesMid-LevelSenior💰 $47,147 - $70,720 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates advanced expertise in medical bill review and claims adjudication, with a strong focus on medical coding, compliance, and documentation accuracy. Proficient in analyzing complex billing scenarios and communicating effectively with stakeholders.

Highest-signal resume keywords

Medical Bill ReviewClaims AdjudicationCPT CodingCertified Professional Coder (CPC)Analytical Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical CodingCPTHCPCSICD CodesBilling RegulationsFee SchedulesDocumentation DisciplineReimbursement GuidelinesAudit ReadinessDispute Resolution

Soft Skills

Attention to DetailCritical ThinkingEffective CommunicationIndependent Work ManagementInvestigative Skills

Certifications & Qualifications

Certified Professional Coder (CPC)

Industry Keywords

Medical BillingComplianceBilling AuditsProvider ContractsState-Specific Guidelines

About the role

Key responsibilities & impact

Review, audit, and adjudicate complex medical bills for accuracy, medical necessity, and compliance.
Analyze CPT, HCPCS, ICD codes and supporting documentation to identify discrepancies.
Apply state‑specific guidelines, provider contracts, and internal policies for reimbursement.
Document billing determinations clearly and thoroughly for audit readiness.
Communicate billing outcomes and requests for additional documentation to partners.
Resolve billing disputes and escalated issues using sound judgment.

Requirements

What you’ll need

Advanced experience in medical bill review, claims adjudication, or medical billing audit.
Strong working knowledge of medical coding (CPT, HCPCS, ICD), fee schedules, and billing regulations.
Certified Professional Coder (CPC).
Demonstrated analytical, investigative, and critical-thinking skills.
High attention to detail with strong documentation discipline.
Ability to manage workload independently while meeting accuracy and turnaround expectations.
Effective written and verbal communication skills.
Comfort handling complex or disputed billing scenarios.

Benefits

Comp & perks

Medical, Dental, Vision, Life and Disability Insurance.
25 days paid time off in your first full year and Paid Holidays.
Tuition reimbursement - up to $5,250 (undergraduate) and $6,000 (graduate).
Student Loan Paydown Program – Eligible to participate after 6 months of service.