Healthcare Provider Management Specialist
7 days ago
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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