Claims Audit Supervisor

1 week ago


Fort Worth, Texas, United States CorVel Healthcare Corporation Full time
Position Overview

The Claims Audit Supervisor is tasked with leading the evaluation and oversight of claims audit metrics across various platforms. This role involves managing team assignments to guarantee prompt and precise handling of requests and claims. The Supervisor aims to minimize response durations and proactively enhance departmental operations to improve service delivery.

This position is remote.

Core Responsibilities:
  • Oversee team performance by establishing benchmarks, assessing outcomes, and providing constructive feedback.
  • Facilitate the gathering of intricate information from diverse systems and data repositories.
  • Support the pricing of claims and resolve customer inquiries.
  • Examine Revenue Cycle transactions and identify trends.
  • Generate analytical reports and assess discrepancies in revenue cycle data.
  • Review client data accuracy and assist Product and Account Management teams.
  • Lead projects assigned by upper management and manage escalated issues.
  • Maintain confidentiality of medical records and sensitive information.
  • Perform additional responsibilities as required.
Essential Knowledge & Skills:
  • Capability to operate autonomously and engage in critical thinking.
  • In-depth understanding of payment reimbursement methodologies.
  • Comprehensive knowledge of claims processing, coding, and healthcare revenue cycles.
  • Proficiency in MS Office and strong analytical capabilities.
  • Meticulous attention to detail and ability to achieve results in a dynamic environment.
  • Excellent interpersonal and problem-solving abilities.
Qualifications & Experience:
  • Minimum of 5 years in a medical or insurance environment.
  • At least 3 years in a supervisory or project management role.
  • High School Diploma or higher is preferred.
  • Familiarity with CMS guidelines and ICD-10 coding.

Compensation Structure:

CorVel employs a market-driven approach to compensation, with salary ranges varying based on location, skills, experience, and market conditions.

About CorVel Healthcare Corporation

CorVel Healthcare Corporation is dedicated to precision and transparency in healthcare payments. We provide a comprehensive benefits package and opportunities for career advancement. Our core values encompass Accountability, Commitment, Excellence, Integrity, and Teamwork.

CorVel is an Equal Opportunity Employer, maintains a drug-free workplace, and adheres to ADA regulations.



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