Become part of Reny Company and work with one of the fastest growing small companies in America! At Reny Company, we are continuously seeking professional, motivated associates to join our team. We offer a competitive salary and benefits package. If you are interested in becoming part of the Reny Company Team, please review the available opportunities below and submit your resume as indicated by the application instructions.*

Position Title: Medical Bill Review Manager

Employment Status: Full time

Contact: or Online Application

General Description: Manages bill review operations, ensuring successful achievement and delivery of services measured by turnaround time, quality, customer service, professional development of direct reports and financial objectives. Optimizes use of staffing through cross training opportunities and increased level of accountability. Identifies staffing requirements and allocates resources where needed to ensure consistency in workflow and production efficiencies. Trains direct reports on the administrative and technical aspect of their job duties . Consistently explores opportunities for improvement to enhance efficiency and optimize margin.

Essential Job Duties: Responsible for day-to-day bill review operations, including data entry, medical bill review and customer service. Make sure that daily data-entry of medical bills are with an accuracy rating of 99.5% or above.

Position Title:  Utilization Review Nurse Auditor

Employment Status: Full time

Contact: or Online Application

General Description: To maximize client savings by reviewing facility medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization and erroneous charges. To provide outstanding customer service to clients by giving them the information they need to determine case value based on evaluation of medical records and medical billing statements. Competitive salary and benefits package
 

Essential Job Duties:

1. Audit medical and billing records and initiate appropriate contacts with clients and medical providers.

2. Maintain organized documentation of all clinical information and interactions with all parties involved with each claim, and compile a complete and concise report of findings.

3. Adhere to quality standards, state billing guidelines, and confidentiality of all information, policies, and procedures.

4. Conduct re-evaluations as needed.

5. Advise supervisor of any potential problems as they become evident.

6. Continually improve job skills and maintain in-depth knowledge of all company products and services as well as customer issues and needs through ongoing training and self-directed research.

7. Adhere to company policies, procedures, and reporting requirements.

Education/Training Requirements:

Three (3) years clinical RN experience

Two (2) years utilization review, denial management, case management, or related experience required.

Associate's degree required.

Completion of an RN program required.

Knowledge of hospital billing and charging processes.

Understanding of medical terminology and billing/appeal guidelines.

Strong understanding of rules and guidelines to include American Association of Medical Audit Specialists (AAMAS), National Commission on Insurance Guidelines

Medicare billing guidelines (CMS)

AHCCCS billing regulations and grievance process including Section 1011 criteria and FES.

Position Title: Customer Service Representative 

Employment Status: Full time

Contact: or Online Application

General Description: The position is to support and act on behalf of our Clients including processing their work and answering calls while multi-tasking in a fast paced environment. Attention to detail and accuracy is of the utmost importance.  Full time hours are Monday-Friday 8:00 a.m.-6:00 p.m.  Compensation commensurate with skills and experience.

Essential Job Duties:
Communicate directly with clients, offering them great customer service by responding to and answering their questions quickly and professionally. Demonstrate an intimate knowledge of customers’ needs, empathy for customers’ situations, and knowledge of appropriate language customers understand.  Daily workflow centers around the following main responsibilities: initiating medical bill re-evaluations, correct routing of new medical bill submissions, initiating the correct routing and classifying of rush requests for medical bill reviews, responding to questions on specific medical bills, changing claim identifiers, resending copies of Explanation of Review documents, assigning client technical issues such as password and log in problems to the appropriate department to resolve, and other client related issues as needed. Maximize productivity through proficient use of various software programs and reference tools, MS Office, Internet, Outlook and company-developed applications. Interacts with other members of The Reny Company such as Specialty Bill Audit and Medical Bill Review Unit, etc. to accomplish customers’ needs. Handle customer issues with the best interest of both the customer and The Reny Company even in the advent of customer complaints and difficult customers.

Position Title: Claims Coordinator 

Employment Status: Full time

Contact:   or   Online Application

General Description: Responsible for ensuring clients needs are met in respect of medical bills that are presented for review/audit. Detail oriented, work independently, possess a team approach to working, and maintain a positive attitude though stressful situations preparing and sending electronic claims to our clients and assisting with incoming phone calls.

Essential Job Duties: Communicate effectively with clients, medical providers and co-workers in oral and written applications. Understand and apply on-the-job claim handling processes. Utilize comprehensive computer platforms.

Position Title: Support Team Specialist 

Employment Status: Full time

Contact: or   Online Application

General Description: Preparing and sending electronic claims to our clients and assisting with incoming phone calls.

Essential Job Duties: Responsible for outgoing electronic medical bills for our clients. Preparing files according to client specifications and other support functions. Answering incoming phone calls

Position Title: Bill Review Specialist 

Employment Status: Full Time 

Contact:  or   Online Application

General Description: Responsible for review of medical bills for multiple states and lines of business. Must be detail oriented and demonstrate a positive attitude.

Essential Job Duties: Responsible for auditing medical bills to ensure payment recommendations adhere to state fee schedule, customer guidelines and PPO discounts. All other duties as assigned.

Education/Training Requirements: 2+ years medical bill review experience. Knowledge of CPT, ICD9, HCPCs coding; UB04 and CMS 1500 form types; workers comp state fee schedules or U&C charges preferred. Excellent communication/phone skills. Computer literate; Intermediate MS Office 2007 skills. Associate or Bachelor's Degree preferred. Recent college graduates encouraged to apply. 

Application Instructions:  or   Online Application

Position Title: Senior Negotiations Representative

Employment Status: Full Time 

Contact:   or   Online Application

General Description: The primary role of the Senior Negotiations Representative (SNR) is to ensure the negotiation and/or re-negotiation of all submitted pre- and post-payment claims within the departmental guidelines and expectations. This individual is responsible for driving resolution through negotiation on all bills assigned to them for closure, focusing on maximizing the savings potential for the client while still providing the most beneficial, expedient resolution possible on the file. The ability to work within a team setting with other departments and to achieve corporate objectives is also critical to the position. This individual will rely upon experience and judgment to plan and accomplish these objectives.

Essential Job Duties: Demonstrated effective negotiation skills and implementation/influencing skills. Strong knowledge of healthcare reimbursement practices and negotiation/collections strategies. Excellent verbal and written communication skills
Excellent interpersonal relationship skills, with the ability to appropriately interface with various levels of the internal organization and external customers. Strong analytical and critical thinking skills, with the ability to analyze complex problems and implement strategies/solutions.

Education/Training Requirements: Bachelors Degree preferred , Minimum 3-5 years of related negotiation and/or collections experience related to the medical and/or insurance industries.
Experience working with workers' compensation medical billing/collections in multiple jurisdictions. Experience as a worker's compensation adjuster is preferred

Application Instructions: Submit resume and cover letter to: or   Online Application

Position Title: Case Manager

Employment Status: Full Time and Part Time Available

Contact:  or   Online Application

General Description: Responsible for utilizing clinical and nursing skills to conduct assessments, plan, coordinate, implement, monitor, and evaluate the treatment of an injured or ill individual. These services are provided to ensure the best and appropriate medical care as well as controlling medical costs. Acts as liaison with healthcare professionals, injured/ill individual, family, employer and/or insurance company.

Essential Job Duties:
Thorough assessment of situation to determine needs of the case to include health, medical, financial, legal, and psychological care and services;
Development of treatment plan to set reasonable objectives and goals for a successful recovery;
Coordination and implementation of recommended treatment plan to include appropriate resources such as physicians, family, employers, adjusters, other health care providers (i.e. PT, etc), and any other available community resources to meet goals of treatment plan;
Follow-up and monitoring of treatment/care to determine the plan’s effectiveness;
On-going evaluation to determine effectiveness of plan and facilitate any changes necessary to expedite recovery or return to work and/or productivity (desired goals);

Education/Training Requirements: Must be Licensed Registered Nurse; prefer Bachelor's Degree and CCM.

*The Reny Company is committed to equal employment opportunities. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex, national origin, age, disability or any characteristic protected by law.

Please be aware that The Reny Company, generally does not review all applications submitted in response to job openings posted on the Internet because of the large volume of responses.