Logo for CorVel Corporation

Medical Bill Review Analyst I

Role overview

Qualifications

  • High school diploma or equivalent
  • 1-2 years of data entry experience
  • Knowledge of medical terminology, workers’ compensation billing guidelines and fee schedules
  • Proficient in Microsoft applications

Responsibilities

  • Auditing medical bills to ensure appropriateness and adherence to State Fee Schedules, customer guidelines and PPO discounts
  • Consulting reference materials in the auditing process
  • Complying with all safety rules and regulations during work hours
  • Balancing multiple priorities and finding effective solutions

Key facts

Other skills

  • Microsoft Software
  • Social Skills
  • Customer Service
  • Problem Solving
  • Collaboration
  • Time Management
  • Organizational Skills
  • Non-Verbal Communication

About the company

CorVel Corporation logo

CorVel Corporation

Insurance

CorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry. Our mission is to take care of people and business with risk management solutions that deliver better outcomes for our partners. We are publicly traded (NASDAQ:CRVL), and annual revenues exceed $719 million. Our continuous investments in technology, infrastructure, and human capital allow us to offer local customer service backed by national resources.

Company details

Company typeLarge
IndustryInsurance
Company size1001 - 5000

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Job description

CorVel is hiring a Medical Bill Review Analyst. The Bill Review Analyst is responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. 

This is a remote role.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

  • Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines and PPO discounts. 
  • Position requires knowledge of the Fee Schedule and the operation of the computer terminal
  • May consult reference materials in the auditing process
  • Requires regular and consistent attendance.
  • Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP).
  • Additional duties as assigned.

 

PRODUCTION REQUIREMENTS:

  • Based upon situation or state specific issues meet 98% accuracy, 10,000+ keystrokes per hour

 

KNOWLEDGE & SKILLS:

  • Knowledge of medical terminology, workers’ compensation billing guidelines and fee schedules
  • Knowledge of CPT/ICD/HCPS coding
  • Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types preferred
  • Strong interpersonal skills and commitment to customer service.
  • Able to work collaboratively and independently. 
  • Able to identify problems and find creative, effective solutions. 
  • Able to balance multiple priorities. 
  • Excellent verbal and written communication skills.
  • Highly developed organizational abilities as well as time management skills.
  • Must be proficient in Microsoft applications.

 

EDUCATION/EXPERIENCE:

  • High school diploma or equivalent.
  • 1-2 years of data entry experience.
  • Experience with Medical Bill Review preferred.

 

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location.  Pay rates are established taking into account the following factors:  federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.  Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.  The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $13.08 - $22.89 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

 

About CorVel

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.   CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients.  We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities.  Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

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.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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