Medical Bill Auditor II

1 week ago


East Hartford, Connecticut, United States CorVel Healthcare Corporation Full time
About This Role

We are seeking a skilled Medical Bill Auditor II to join our team at CorVel Healthcare Corporation. As a Medical Bill Auditor, you will play a critical role in ensuring the accuracy and appropriateness of medical charges.

Key Responsibilities
  • Analyze medical bills to determine the necessity of the review process and communicate any specific issues to the claims examiner or direct reporting manager.
  • Collect and analyze data to make decisions regarding billing, delivery of care, and treatment plans.
  • Document work and final conclusions in designated computer programs.
  • Meet productivity standards and timelines while maintaining a score of 98% or higher on performance audits.
Requirements
  • Associate's degree or equivalent experience.
  • Certified Professional Coder (CPC) or CPC-A certification required.
  • Previous experience in medical bill auditing, knowledge of worker's compensation claims processes, and prospective, concurrent, and retrospective utilization review preferred.
Compensation & Benefits

The estimated salary range for this role is $21.16 - $34.04 per hour. We offer a comprehensive benefits package, including medical, 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, 401(k), ROTH 401(k), and paid time off.

About CorVel

CorVel is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health, and disability management industries. Our commitment to innovation, excellence, and teamwork has earned us recognition as a Great Place to Work Company. Join our team and be part of a stable and growing company with opportunities for career advancement.


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