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Bill Review Analyst I

4 months ago

Folsom, United States CorVel Healthcare Corporation Full time
Job DescriptionJob Description

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

This is a remote position. Must reside in or near Folsom, CA.

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

PRODUCTION REQUIREMENTS:

  • Based upon situation or state specific issues meet 98% accuracy, 10,000+ keystrokes per hour

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: $16.00 - $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.

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