Current jobs related to Medical Only Claims Specialist - Oregon - CorVel Corporation

  • Medical Coding Specialist

    3 weeks ago

    Clackamas, Oregon, United States Southern Pro Staffing Full time

    Job SummaryThis is an experienced coding position focused on review of documentation and coding. This position will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations.Key ResponsibilitiesReview and analyze medical documentation to ensure accurate coding and claim submissionConform to applicable guidelines and...

  • Medical Coding Specialist II

    4 weeks ago

    Oregon, Illinois, United States WVU Full time

    Job SummaryWe are seeking a highly skilled Medical Coding Specialist II to join our team at WVU. The successful candidate will be responsible for ensuring accurate and timely coding, charging, and abstraction of accounts for assigned specialty areas.Key ResponsibilitiesCoding and Charging: Reviews and accurately interprets medical record documentation to...

  • Medical Coding Specialist

    7 days ago

    Clackamas, Oregon, United States Southern Pro Staffing Full time

    Job SummaryThis is an experienced coding position focused on review of documentation and coding. The successful candidate will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations.Key ResponsibilitiesReview and code medical documentation to ensure accuracy and complianceEnsure timely and accurate claim...

  • Claims Assistant

    4 months ago

    Oregon, United States CorVel Corporation Full time

    The Claims Assistant will assist and support the claims staff in the set-up and administration of workers' compensation claims/case management and other tasks depending on the specific needs of the customers. In-office role in Portland, OR. ESSENTIAL JOB DUTIES & RESPONSIBILITIES: Sets up new claims Process mail, handle files (until paperless), and...

  • Claims Assistant

    1 week ago

    Oregon, United States CorVel Corporation Full time

    The Claims Assistant will assist and support the claims staff in the set-up and administration of workers' compensation claims/case management and other tasks depending on the specific needs of the customers. In-office role in Portland, OR. ESSENTIAL JOB DUTIES & RESPONSIBILITIES: Sets up new claims Process mail, handle files (until paperless), and...

  • Medical Support Specialist

    4 weeks ago

    Oregon, Ohio, United States Select Medical Corporation Full time

    Job SummaryWe are seeking a highly skilled Medical Support Specialist to join our team at Select Medical Corporation. As a Medical Support Specialist, you will play a vital role in providing exceptional patient care and support to our patients and their families.Key ResponsibilitiesPerform various patient care tasks, including bathing, oral hygiene, and hair...

  • Workers' Compensation Claims Manager

    3 weeks ago

    Salem, Oregon, United States CCMSI Full time

    About the RoleWe are seeking an experienced Workers' Compensation Claims Supervisor to lead our team handling claims exclusively for a dedicated national retail client in the Pacific Northwest region. In this role, you will oversee the investigation, adjustment, and supervision of workers' compensation claims, ensuring all claims are managed efficiently and...

  • Workers' Compensation Claim Supervisor

    2 weeks ago

    Salem, Oregon, United States CCMSI Full time

    Job SummaryWe are seeking an experienced Workers' Compensation Claims Supervisor to lead our team handling claims exclusively for a dedicated national retail client in Salem, OR. In this role, you will oversee the investigation, adjustment, and supervision of workers' compensation claims, ensuring all claims are managed efficiently and in strict compliance...

  • Workers Compensation Claims Team Lead

    3 weeks ago

    Portland, Oregon, United States Gallagher Full time

    About the RoleWe are seeking a highly skilled and experienced Claims Supervisor to lead our Workers Compensation claims team. As a key member of our team, you will be responsible for supervising a team of claims adjusters, promoting best practices, and driving talent development.Key ResponsibilitiesSupervise and lead a team of claims adjusters to deliver...

  • Clinical Medication Specialist

    4 weeks ago

    Oregon, Illinois, United States DataSF Full time

    Position Overview:The Clinical Medication Specialist plays a crucial role in ensuring the safe and effective use of medications within the healthcare system. This position is dedicated to enhancing patient care through comprehensive drug education and management.Key Responsibilities:Conduct thorough patient interviews to assess medication adherence and...

  • Account Resolution Specialist

    3 weeks ago

    Portland, Oregon, United States Consonus Pharmacy Full time

    About the RoleWe are seeking a highly skilled Account Resolution Specialist to join our team at Consonus Pharmacy. As an Account Resolution Specialist, you will be responsible for handling billing and customer account inquiries, as well as following up on delinquent accounts.Key ResponsibilitiesPrepare and send out past due account lettersFile estate and...

  • Client Engagement Specialist

    1 month ago

    Oregon, Illinois, United States Jmerrioninsurance Full time

    Position OverviewAs a Client Engagement Specialist at Jmerrioninsurance, you will play a pivotal role in creating outstanding client interactions that contribute to the success of our insurance agency.Your exceptional attention to detail, friendly demeanor, and strong customer service abilities will make you an invaluable asset to our team.Key...

  • Medical Professional

    3 weeks ago

    Oregon, Wisconsin, United States MRG Exams Careers Full time

    About the RoleWe are seeking a skilled Medical Professional to join our team as a Disability Assessment Specialist. In this role, you will work with United States Veterans to perform medical assessments as part of the VA's disability benefits process.Key ResponsibilitiesConduct in-person physical exams on Veterans to gather medical informationReview medical...

  • Culinary Specialist

    4 weeks ago

    Oregon, Ohio, United States St Luke's Medical Center Full time

    About St Luke's Medical Center and the RoleSt Luke's Medical Center is seeking a committed Culinary Specialist to become part of our dynamic team, working closely under the guidance of the Food and Nutrition Services Director or Supervisor. In this role, you will be tasked with the preparation, seasoning, and cooking of meals for our residents, patients,...

  • Medical Information Specialist II

    3 days ago

    Oregon State, United States Inizio Engage Full time

    Inizio Engage has a long-standing partnership with a leading Biotechnology company, across Commercial, Patient Solutions and Medical Affairs businesses. A frontline specialist responsible for delivering virtual or telephonic support to identified clients engaging customers, patients, and/or healthcare professionals, in a robust clinical dialogue. The...

  • Medical Billing Specialist

    3 weeks ago

    Portland, Oregon, United States ScalePH Full time

    Job SummaryWe are seeking a detail-oriented and organized individual to join our team as a Medical Billing Specialist at ScalePH. As a key member of our back-office billing department, you will play a vital role in ensuring the smooth and efficient operation of our billing processes.ResponsibilitiesGreet patients and visitors in a friendly and professional...

  • Bilingual Medical Information Specialists II

    3 days ago

    Oregon State, United States Inizio Engage Full time

    Inizio Engage has a long-standing partnership with a leading Biotechnology company, across Commercial, Patient Solutions and Medical Affairs businesses. A frontline specialist responsible for delivering virtual or telephonic support to identified clients engaging customers, patients, and/or healthcare professionals, in a robust clinical dialogue. The...

  • Traveling Radiology Specialist

    1 month ago

    Oregon City, Oregon, United States Rock Medical Group Full time

    Position:Traveling Radiology SpecialistCompany:Rock Medical GroupOverview:Rock Medical Group is actively seeking a skilled Traveling Radiology Specialist for an exciting opportunity.Role Highlights:Specialty: Radiology SpecialistField: Allied Health ProfessionalWork Schedule: 36 hours per weekShift: 12-hour daytime shiftsEmployment Type: TravelAbout Rock...

  • Immunology Field Access and Reimbursement Specialist

    3 weeks ago

    Portland, Oregon, United States AbbVie Full time

    Job Summary:The Immunology Field Access and Reimbursement Specialist plays a critical role in supporting AbbVie's gastroenterology portfolio by acting as an in-office resource for healthcare professionals (HCPs) to address questions about patient access and reimbursement.Key Responsibilities:Educate HCPs on patient support programs, including access and...

  • Travel Nurse RN

    4 weeks ago

    Oregon, Ohio, United States Advantis Medical Full time

    Job Title: Travel Nurse RN - Long Term Acute Care SpecialistJob Summary:Advantis Medical is seeking an experienced Long Term Acute Care (LTAC) Registered Nurse (RN) to join our team. As a LTAC travel nurse, you will provide high-quality care to patients in a dynamic and fast-paced environment.Responsibilities:Provide compassionate and individualized care to...

Medical Only Claims Specialist

3 months ago

Oregon, United States CorVel Corporation Full time

The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision, supporting the goals of claims department and of CorVel.

This role is open for remote, hybrid, or onsite work.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Receives claims, confirms policy coverage and acknowledgement of the claim
  • Determines the validity and compensability of the claim
  • Establishes reserves and authorizes payments within established reserving authority limits
  • Communicates claim status with the customer, claimant and client
  • Adheres to client and carrier guidelines and participates in claims review as needed
  • Assists other claims professionals with more complex or problematic claims as necessary
  • Additional projects and duties as assigned

KNOWLEDGE & SKILLS:

  • Excellent Customer Service Skills
  • Excellent written and verbal communication skills
  • Ability to learn rapidly to develop knowledge and understanding of claims practice, relevant statutes and medical terminology
  • Ability to identify, analyze and solve problems
  • Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
  • Strong interpersonal, time management and organizational skills
  • Ability to work both independently and within a team environment

EDUCATION & EXPERIENCE:

  • Bachelor's degree or a combination of education and related experience
  • Minimum of 1 year industry experience and claim handling
  • WC experience required
  • Licensed as required jurisdictionally

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $15.98 - $25.69 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

ABOUT CORVEL:

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote #LI-Hybrid #LI-Onsite