The Provider Management Analyst is responsible for verifying provider
information and requests for documentation to audit claims including but not
limited to itemized bills, medical records, UB04’s, HCFA’s, etc.
Responsibilities include verifying patient information, provider contact
information, and client information for accuracy to ensure proper delivery of
requests.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Communicate with respective leadership on any issues or problems identified
Maintain production standards, production requirements, and quality of work
Assist coworkers, supervisor, or management to accomplish product goals;
report potential issues in a proactive manner
Timely forward misdirected requests to the correct recipient
Ensure strict confidentiality of all medical records, PHI, and PII
Outbound calling may be needed
Additional duties as assigned
KNOWLEDGE & SKILLS:
Ability to work independently
Strong organization skills
Strong analytical and problem-solving skills
Excellent attention to detail
Ability to deliver results in a timely manner
MS Office including Word, Excel, and Outlook; Windows operating system
Outbound call experience
EDUCATION & EXPERIENCE:
High School Diploma or equivalent required
Demonstrated knowledge of office experience
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: $13.94 - $20.27 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel
Careers | Opportunities in Risk Management
[https://www.corvel.com/company/careers/]
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 CERIS:
CERIS, a division of CorVel Corporation, a certified Great Place to Work®
Company, offers incremental value, experience, and a sincere dedication to our
valued partners. Through our clinical expertise and cost containment solutions,
we are committed to accuracy and transparency in healthcare payments. We are a
stable and growing company with a strong, supportive culture along with plenty
of career advancement opportunities. We 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.
#LI-Remote