CERIS
Posted 53 days agoVerified live 9h ago
Setup Analyst I
Brief overview
Remote
High SchoolOr in progress
$13–$20/hrStated range
1+ yrsMinimum
Microsoft OfficeData Entry
About the company
CERISceris.com
CERiS is a company that detects and resolves payment issues for health claims.
Job description
Summary
CERIS, a division of CorVel Corporation, provides healthcare payment solutions focused on clinical expertise, cost containment, accuracy, and transparency. The Setup Analyst I receives and enters medical claims, ensures billing accuracy and eligibility for review, communicates special claim handling requirements, and supports departmental production and quality goals.
Responsibilities
- Ensure bill is eligible for MCS review
- Handle/organize bills to be entered timely, proficiently, and accurately into internal system
- Communicate any special handling of each claim
- Maintains production standards and production requirements
- Comply with standard protocol for processing problem claims
- Responsible for high profile clients, including production, QC, communications, etc
- May assist with training new employees
- Function as back-up for filter or filter leads
- Must be willing and able to work overtime as required
- Assist co-workers, supervisor and management in accomplishing production goals
- Maintain HIPAA compliance in all aspects of communications and performance of duties
- Additional duties as assigned
Skills
- Proficient in Microsoft Office applications
- Attention to detail
- Ability to review departmental work product for quality and correct when applicable
- Exceptional organizational skills
- Ability to work independently, as well as with a team environment
- Ability to work in a fast-paced/production environment
- Ability to investigate and obtain answers independently
- Demonstrated problem solving skills and analytical skill
- Effective and professional verbal and written communication skills
- High school diploma or equivalent
- Minimum 1 year office experience
- Data Entry experience
Qualifications
Must Haves
- Proficient in Microsoft Office applications
- Attention to detail
- Ability to review departmental work product for quality and correct when applicable
- Exceptional organizational skills
- Ability to work independently, as well as with a team environment
- Ability to work in a fast-paced/production environment
- Ability to investigate and obtain answers independently
- Demonstrated problem solving skills and analytical skill
- Effective and professional verbal and written communication skills
- High school diploma or equivalent
- Minimum 1 year office experience
- Data Entry experience
Benefits
- For full-time regular employees: Medical (HDHP) w/Pharmacy
- For full-time regular employees: Dental
- For full-time regular employees: Vision
- For full-time regular employees: Long Term Disability
- For full-time regular employees: Health Savings Account
- For full-time regular employees: Flexible Spending Account Options
- For full-time regular employees: Life Insurance
- For full-time regular employees: Accident Insurance
- For full-time regular employees: Critical Illness Insurance
- For full-time regular employees: Pre-paid Legal Insurance
- For full-time regular employees: Parking and Transit FSA accounts
- For full-time regular employees: 401K
- For full-time regular employees: ROTH 401K
- For full-time regular employees: paid time off
- Plenty of career advancement opportunities
- Remote work arrangement
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