Note: The job is a remote job and is open to candidates in USA. CERIS, a division of CorVel Corporation, provides clinical expertise and cost containment solutions focused on accuracy and transparency in healthcare payments. The Provider Management Analyst III verifies provider and patient information and requests documentation to support claims audits, while ensuring accurate delivery, confidentiality, quality, and timely processing of requests.
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
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
- High School Diploma or equivalent required
- Demonstrated knowledge of office experience
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
Company Overview