Summary
CorVel Corporation provides risk management solutions for workers’ compensation, auto, health, and disability management industries. The Bill Review Analyst I reviews, audits, and enters medical bill data for multiple states and lines of business while ensuring compliance with fee schedules, customer guidelines, and PPO discounts.
Responsibilities
- Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines, and PPO discounts
- May consult reference materials in the auditing process
- Based upon situation or state-specific cases, meet 98% accuracy, 10,000+ keystrokes per hour
- Additional duties as assigned
Skills
- * Knowledge of medical terminology, workers' compensation billing guidelines and fee schedules
- * Knowledge of CPT/ICD/HCPS coding
- * Strong interpersonal skills and commitment to customer service
- * Ability to work independently and in a team environment
- * Ability to identify problems and find effective solutions
- * Excellent verbal and written communication skills
- * Highly developed organizational abilities as well as time management skills
- * Must be proficient in Microsoft Office applications
- * High school diploma or equivalent
- * 1-2 years of data entry experience
- * Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types preferred
- * Experience with Medical Bill Review preferred
Qualifications
Must Haves
- * Knowledge of medical terminology, workers' compensation billing guidelines and fee schedules
- * Knowledge of CPT/ICD/HCPS coding
- * Strong interpersonal skills and commitment to customer service
- * Ability to work independently and in a team environment
- * Ability to identify problems and find effective solutions
- * Excellent verbal and written communication skills
- * Highly developed organizational abilities as well as time management skills
- * Must be proficient in Microsoft Office applications
- * High school diploma or equivalent
- * 1-2 years of data entry experience
Nice to Haves
- * Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types preferred
- * Experience with Medical Bill Review preferred
Benefits
- This is a remote position.
- A comprehensive benefits package is available for full-time regular employees and includes 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.
- Plenty of career advancement opportunities