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Bill Review Analyst II

Role overview

Qualifications

  • High school diploma or equivalent
  • 1-2 years of data entry experience
  • Knowledge of medical terminology and billing guidelines
  • Proficient in Microsoft Office applications

Responsibilities

  • Review and audit medical bills for accuracy and compliance with guidelines
  • Consult reference materials during the auditing process
  • Maintain 98% accuracy and meet keystroke requirements
  • Perform additional duties as assigned

Key facts

  • Remote from: United States
  • Full time
  • Mid-level (2-5 years)
  • English

Hard skills

Other skills

  • Microsoft Office
  • Social Skills
  • Customer Service
  • Problem Solving
  • Teamwork
  • Communication
  • Organizational Skills
  • Time Management

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

The Bill Review Analyst is responsible for reviewing, auditing and data-entry of medical bills for multiple states and lines of business.

This is a remote position.

ESSENTIAL FUNCTIONS & 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

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
  • 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

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: $19.24 - $31.04 per hour

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

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

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
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