See more Collapse

Bill Review Analyst I

2 months ago

New York, United States CorVel Corporation Full time

Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines and PPO discounts
  • Position requires knowledge of the Fee Schedule and the operation of the computer terminal
  • May consult reference materials in the auditing process
  • Requires regular and consistent attendance
  • Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
  • Additional duties as assigned

KNOWLEDGE & SKILLS:

  • Knowledge of medical terminology, workers' compensation billing guidelines and fee schedules
  • Knowledge of CPT/ICD/HCPS coding
  • Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types preferred
  • Strong interpersonal skills and commitment to customer service
  • Able to work collaboratively and independently
  • Able to identify problems and find creative, effective solutions
  • Able to balance multiple priorities
  • Excellent verbal and written communication skills
  • Highly developed organizational abilities as well as time management skills
  • Must be proficient in Microsoft applications

EDUCATION & EXPERIENCE:

  • High school diploma or equivalent
  • 1-2 years of data entry experience
  • Experience with Medical Bill Review preferred

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: $15.00 - $22.36 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-Hybrid

We have other current jobs related to this field that you can find below

  • Bill Review Analyst I

    4 weeks ago

    New York, New York, United States CorVel Corporation Full time

    Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. ESSENTIAL FUNCTIONS & RESPONSIBILITIES:Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines and PPO discounts Position requires knowledge of the Fee Schedule and the...

  • Billing Analyst

    2 weeks ago

    New York, United States King & Spalding Full time

    King & Spalding, a leading global law firm, seeks a Billing Analyst to join our Finance Department. The department offers the opportunity for a Billing Analyst to join an innovative and collaborate team focused on supporting accounting practices and developing solutions to improve processes and procedures. The Billing Analyst will work closely with the...

  • Manager - Medical Bill Review Operations

    2 weeks ago

    New York, New York, United States Alaffia Health Full time

    About Alaffia & Our Mission Each year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we're on a mission to change that. We've assembled a team of clinicians, AI/ML engineers, and product experts to build advanced AI that finally bends the cost curve for all...

  • Senior Billing Analyst

    2 weeks ago

    New York, New York, United States Consultative Search Group Full time

    A global law firm seeks a Senior Billing Analyst to join their dynamic team. Responsibilities:As a Senior Billing Analyst , you will be responsible for act as a resource for the firm with regards to global billing processes, procedures, and policies in addition to preparing complex bills for the Global Billing DepartmentOther key responsibilities...

  • Billing Analyst Intern

    4 weeks ago

    New York, United States Vivvi Early Learning Full time

    Job DescriptionJob DescriptionAbout Vivvi: Vivvi provides child care and early learning for today's families. We partner with employers of all sizes to make exceptional full-time and backup care more accessible and affordable. With beautiful campuses, flexible offerings, and trained, passionate teachers, we provide parents with peace of mind while...

  • Epic Professional Billing Analyst

    4 weeks ago

    New York, United States TTI of USA Full time

    **Title: Epic Resolute Professional Billing Analyst** **Location: New York, NY (Manhattan) Near 48th & Lexington (Hybrid - 3 Days in Office)** **Duration: Full-Time - Direct Hire (Not a Contract)** **Overview**: Our client has an opportunity for an experienced Epic Analyst to collaborate on all aspects of implementations, upgrades, and maintenance of the...

  • Nurse Auditor, Hospital Bill Audits

    14 hours ago

    New York, United States Med Review Inc Full time

    Position Summary At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews . We are seeking a registered nurse with extensive experience in clinical auditing to perform a bill review...

  • Medical Claim/Bill Reviewer

    2 weeks ago

    New York, United States Alaffia Health Full time

    About Alaffia & Our MissionEach year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we’re on a mission to change that. We’ve assembled a team of clinicians, AI/ML engineers, and product experts to build advanced AI that finally bends the cost curve for all...

  • Medical Bill Review/Cost Containment Supervisor

    1 day ago

    New York, United States Absolute Staffing & Consulting Solutions Full time

    Job DescriptionJob DescriptionPosition Summary:The medical bill review/cost containment supervisor ensures that the Company's medical bill review staff meets daily production and accuracy quotas in analyzing and processing workers' compensation and auto medical invoices in accordance with prevailing fee schedule or UCR guidelines.Duties include:•...

  • Sr. Epic Analyst

    3 weeks ago

    New York, United States Infinity Consulting Solutions Full time

    Title: Sr. Epic Analyst (Epic Professional Billing)Location: New York City, NY (Hybrid)Client Industry: Hospital & Healthcare We have partnered with our client in their search for a Sr. Epic Analyst (Epic Professional Billing) to join theirteam and collaborate on all aspects of implementing and maintaining the Epic Enterprise System's Professional Billing...

  • Epic Hospital Billing Analyst

    4 weeks ago

    New York, United States Tandym Group Full time

    A recognized healthcare network in New York City is currently seeking a new Epic Certified Hospital Billing Analyst to manage Charge Router and Charge Handler as well as Person/Patient and Family Engagement (PFE) for paperless billing.About the Opportunity:Setting: 100% RemoteHours: 8/8:30am to 4:30/5pm (EST)Responsibilities:The Epic HB Analyst will be...

  • Resolute Professional Billing Analyst

    3 weeks ago

    New York, United States Innovative Management Solution Full time

    **Title: Epic Resolute Hospital Billing Analyst** **Location: Manhattan, NY** **Duration: Full-Time** **Experience**: - Three plus years of hands-on experience with Epic Resolute Billing in a real-time environment with Claims as they relate to the Resolute Module. Demonstrated expert knowledge of HB Rule, HB Work Queues, HB Billing Indicators, Statement...

  • Billing Pricing Analyst- HYBRID

    4 weeks ago

    New York, United States Toppan Merrill Full time

    Job Description: 6kThe Billing Pricing Analyst compiles data and prepares client invoices. Processes high volume of work and has the ability to make analytical decisions. Performs a multitude of tasks and has a strong knowledge of industry services, understanding of market rates, and valued added services to clients. Has fluency in all client billing...

  • E-Billing Specialist

    1 week ago

    New York, United States Atlas Search Full time

    Job DescriptionJob DescriptionOur client is one of the nation's largest law firms that provides a wide variety of legal services to clients throughout the United States and around the world. They are actively seeking an E-Billing Specialist to join their team and provide direct support to the Client Operations Department. The ideal candidate will be...

  • Personnel Review Analyst

    2 days ago

    New York, United States NYC Careers Full time

    **Personnel Review Analyst**: - Apply**Personnel Review Analyst**: - Agency: HOUSING PRESERVATION & DVLPMNT - Posted on: 06/04/2024- Job type: Full-time Location NYC-ALL BOROS - Title Classification: No exam required Department Budget Office - Salary range: $59,116.00 - $67,983.00- About the Agency: - The New York City Department of Housing...

  • Procedural Billing Specialist I

    3 weeks ago

    New York, United States Mount Sinai Full time

    **Description** The Procedural Billing Specialist I is responsible for multiple components of the complex billing and coding process for specialized procedures, including Accounts Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with responses to...

  • IT QA Analyst I

    1 week ago

    New York, United States NYSERDA Full time

    New York is leading the nation in the fight on global climate change and the transition to a clean energy-powered economy. The Climate Leadership and Community Protection Act (Climate Act) has created the most aggressive climate change goals in the nation and requires an ambitious agenda that blends proven catalysts with innovative approaches while operating...

  • Analyst I

    4 weeks ago

    New York, United States Building Service 32BJ Benefit Funds Full time

    Job DescriptionJob DescriptionJob Title: Retirement Services Analyst ILabor Grade: 7Department: Retirement ServicesReports To: Manager, Retirement ServicesFLSA Status: Non-Exempt (Local 153) Salary Range: As established by contract Summary: Under the supervision of the Retirement Services Manager, the Analyst I is responsible for determining pension...

  • Analyst I

    4 weeks ago

    New York, United States Building Service 32BJ Benefit Funds Full time

    Job DescriptionJob DescriptionJob Title: Retirement Services Analyst ILabor Grade: 7Department: Retirement ServicesReports To: Manager, Retirement ServicesFLSA Status: Non-Exempt (Local 153) Salary Range: As established by contract Summary: Under the supervision of the Retirement Services Manager, the Analyst I is responsible for determining pension...

  • Compliance Analyst

    4 weeks ago

    New York, United States Galaxy Digital Full time

    Who You Are: The Compliance Analyst will be responsible for implementing the firm's compliance policies related to the review and approval of marketing materials relating to Galaxy Digital. The Compliance Analyst will also be asked to help review marketing materials for Galaxy Digital's broker-dealer and asset management business. What You'll Do: * Update...