Medical Billing Review Specialist I
2 weeks ago
We are seeking a dedicated professional to take on the role of reviewing, auditing, and processing medical bills across various states and lines of business.
Primary Responsibilities:
- Conduct audits of medical bills to ensure adherence to State Fee Schedules, client guidelines, and PPO discounts.
- Leverage knowledge of Fee Schedules and computer systems for precise auditing.
- Refer to relevant materials as necessary.
- Maintain consistent attendance and comply with safety protocols.
- Execute additional assigned tasks as required.
Performance Goals:
- Strive for 98% accuracy and achieve over 10,000 keystrokes per hour in line with specific state mandates.
Essential Skills:
- Comprehension of medical terminology, workers' compensation billing protocols, and fee schedules.
- Expertise in CPT/ICD/HCPS coding.
- Familiarity with UBO4/DWC-9/DWC-10 and CMS 1500 forms.
- Strong interpersonal and customer service abilities.
- Capability to work both independently and as part of a team.
- Effective problem-solving and prioritization skills.
- Excellent written and verbal communication skills.
- Proficiency in Microsoft Office applications.
Qualifications:
- High school diploma or equivalent.
- 1-2 years of experience in data entry.
- Previous experience in Medical Bill Review is preferred.
Explore a Rewarding Career Path
CorVel Healthcare Corporation is a premier provider of risk management solutions, established in 1987. Our dedication to innovation and client satisfaction has positioned us as a reputable name in the industry. Join a workforce of over 4,000 professionals nationwide who exemplify our core values of Accountability, Commitment, Excellence, Integrity, and Teamwork. We offer a competitive salary based on various factors, along with opportunities for professional growth. Be part of a supportive environment and discover advancement opportunities.
Experience our comprehensive benefits package, which includes Medical, Dental, Vision, Disability coverage, Life Insurance, 401K, and more. CorVel is an Equal Opportunity Employer that values diversity and maintains a drug-free workplace.
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