Recovery Team Lead

2 days ago

Fort Worth, Texas, United States CorVel Healthcare Corporation Full time
Job Title: Recovery Team Lead

We are seeking a highly skilled Recovery Team Lead to join our team at CorVel Healthcare Corporation. As a key member of our revenue cycle team, you will be responsible for analyzing and monitoring claims audit data across multiple platforms.

Key Responsibilities:

  • Manage team performance by setting and communicating standards and deadlines, measuring results, and providing feedback.
  • Assist leadership in obtaining complex information from various financial, clinical, and operational systems and data sources.
  • Ability to assist with pricing of claims according to provider contracts.
  • Ability to assist team with problem-solving regarding customer complaints, or inquiries, including bill review disputes verbally and in written communication.
  • Identify, quantify, and monitor account detail or workflow processes for barriers. Make process improvements or initiate courses of action for problem resolution.
  • Analyze all forms of Revenue Cycle transactions and provide trend analysis.
  • Produce daily, monthly, and annual evaluative and statistical reports, analyzing drivers of variances from period to period in order to ensure the integrity and accuracy of revenue cycle data.
  • Evaluate integrity of client data, including actively participating with and supporting the Product and Account Management teams with trend analysis of payment and data variances.
  • Participate in panel interviews, prepare new hire documentation, facilitate associate orientation, and participate in the termination process.
  • Independently lead initiatives as assigned by management, coordinating task teams or other forums to deliver results as identified and/or determined by leadership.
  • Ability to review and understand case rates, per diems, percentage of discounts, and provide detailed charges and costs per claim.
  • Handle escalated requests from clients and/or executive leadership.
  • Assist with other research and development projects as directed by the manager.
  • Ensure strict confidentiality of all medical records, PHI, and PII.

Requirements:

  • 5+ years of relevant experience in a medical or insurance field, which required heavy involvement in bill review processing of claims.
  • 3+ years of previous supervisory/management or project management experience a plus.
  • 3+ years of relevant experience or equivalent combination of education and work experience.
  • High School Diploma or higher preferred.
  • Demonstrated knowledge of CMS guidelines and ICD-10 coding guidelines as applicable.

Benefits:

CorVel offers 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.

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

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