Location: Bloomington, Minnesota (Hybrid) | Full-Time

Pay: $26.09 to $40.18 ( DOE)

Ranked #8 Top Workplace – Midsize Employer, MN

About the Role:

Since 1983, SFM has been the workers’ compensation partner of choice for agents, employers and their workers. When a workplace injury occurs, employees need to know they will receive timely assistance and support throughout the process. As a member of the Medical Bill Review team, you’ll ensure that the medical bills injured workers incur are paid accurately according to the workers’ compensation guidelines. Verifying the billing codes are correct, following state appropriate workers’ compensation guidelines and producing high-quality work is a key function in this position. You will look at billing practices of medical providers and participate in conferences to address payment rationale as well as maintaining positive team relationships with internal and external customers. Depending on your experience and education you may be hired as an Associate Medical Support Representative or Medical Support Representative. Salary and training will be based on your experience. SFM offers a flexible hybrid work environment, so some office time is required. The Corporate Headquarters are in Minnesota. Apply today and you will discover why SFM retains their employees and is considered an excellent place to grow your career

What You’ll Do:

• Review and process medical bills using the Mitchell system, ensuring accuracy and adherence to workers’ compensation guidelines
• Meet production and quality standards while maintaining timely turnaround
• Analyze medical billing codes (CPT, ICD, HCPCS, CMS) and apply proper reimbursement practices
• Identify overpayments, submit refund requests, and escalate concerns appropriately
• Manage provider appeals and reconsiderations with professional and compliant communication
• Investigate potentially improper billing patterns (overutilization, fraud, errors) and escalate as needed
• Collaborate with vendors and internal stakeholders to support bill review processes
• Provide high-quality customer support and contribute ideas to improve team efficiency

What We’ll Like About You:

• Associate degree or bachelor’s degree in medical bill coding/health information, nursing, or similar field preferred; in lieu of a formal degree, two or more years of technical training or work experience in a medical coding, medical billing, or insurance environment is accepted.
• One or more years’ experience working in a customer facing environment highly desirable; experience working in a medical clinic or insurance environment is a plus.
• Medical coding certification is preferred, or willing to obtain certification with 18 months of employment.
• Knowledge of workers’ compensation insurance and/ or medical coding experience preferred.
• Ability to understand and use analytical skills relating to business interpretation of medical documents, including CPT, ICD, HCPS, CMS and bundling. Basic math skills and is good with numbers.
• High attention to detail and accuracy
• Excellent communication and customer service skills

Candidates who possess a certification from either the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA), in addition to the aforementioned skills, may be considered for a higher-level role.

Why You’ll Love Working Here

We want your work life to feel balanced, rewarding, and supported. Here are just a few of the benefits SFM offers:

• Comprehensive medical, dental, and vision coverage (plus HSA/FSA options).
• Significant Cash Benefit if You Opt Out of Our Health Plan
• Flexible hybrid work environment.
• 401(k) with both Traditional and Roth options + company match.
• Contributions toward student loan repayment.
• Generous PTO, 9 paid holidays, and paid parental leave.
• Monthly home internet allowance.
• Free life insurance, short-term & long-term disability coverage.
• Incentive bonus opportunities.
• Adoption financial assistance.
• Pet insurance.
• Annual company-wide volunteer day.
• Discounts on gyms, fitness apps, and wellness programs.

Who We Are

SFM is the leading workers’ compensation insurer in Minnesota, with a growing presence across the Midwest. We’re proud to be recognized as a Top Workplace (#8 midsize employer in MN) thanks to our supportive culture, commitment to our employees, and focus on doing what’s right. Learn more by clicking here (https://www.sfmic.com/careers/).

The base pay posted is just one component of SFM’s total compensation package. The salary range listed represents the full compensation range for this position. Job title and starting pay will be based on the selected candidate’s relevant knowledge, skills, abilities and/or experience, and education, if applicable as well as internal equity with other employees in the same job classification. #SFM

Work Environment and Physical Demands

Regular attendance is required. Work takes place in a semi paperless environment within an office setting, either on business premises or other remote location, using standard office equipment such as computers, phones, and copiers, which requires being stationary for extended periods of time. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands and fingers, handle or feel; and reach with hands and arms and work with close vision. This position requires the ability to occasionally lift office products and supplies, up to 20 pounds. Work is performed indoors with little to no exposure to extreme outdoor weather conditions.

SFM Mutual Insurance Company and each of its parent companies, subsidiaries and/or affiliated companies are Equal Opportunity/Affirmative Action Employers. SFM provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, status with regard to public assistance, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

SFM Companies, EEO/AA Employers. SFM is a participant of E-Verify. Applicants have rights under Federal Employment Laws.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.