Healthcare Provider Management Specialist

7 days ago


Fort Worth, Texas, United States CorVel Healthcare Corporation Full time
Job Title: Provider Management Analyst III

Job Summary:

The Provider Management Analyst III is responsible for verifying provider information and ensuring the accuracy of patient, provider, and client data. This role requires strong analytical and problem-solving skills, as well as the ability to work independently and use critical thinking.

Key Responsibilities:

  • Verify provider information and requests for documentation to audit claims
  • Communicate with leadership on any issues or problems identified
  • Maintain production standards, production requirements, and quality of work
  • Assist coworkers, supervisor, or management to accomplish product goals and reports any potential issues in a proactive manner
  • Forward misdirected requests to the correct individual/department to respond to any requests timely
  • Ensure strict confidentiality of all medical records, PHI, and PII

Requirements:

  • High School Diploma or equivalent required
  • Demonstrated knowledge of office experience
  • Ability to work independently and use critical thinking
  • Outbound call experience
  • Organized and ability to multitask
  • MS Office including Word, Excel and Outlook; Windows operating system and Internet
  • Strong analytical and problem-solving skills
  • Strong attention to detail and ability to deliver results in a timely manner

Benefits:

CorVel offers a comprehensive benefits package, including 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.

About CorVel:

CorVel is a certified Great Place to Work Company, offering incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments.



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