Bill Review Analyst I

Posted Yesterday
Be an Early Applicant
Hiring Remotely in USA
Remote
13-23 Hourly
Junior
Insurance
The Role
Review, audit, and data-enter medical bills for multiple states and lines of business to ensure adherence to state fee schedules, customer guidelines, PPO discounts, and coding standards. Meet accuracy and productivity targets and perform related duties as assigned.
Summary Generated by Built In

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 role.

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: $13.38 - $23.42 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.

    #LI-Remote


    Equal Opportunity Employer
    This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

    Skills Required

    • High school diploma or equivalent
    • 1-2 years of data entry experience
    • Knowledge of medical terminology and workers' compensation billing guidelines and fee schedules
    • Knowledge of CPT/ICD/HCPCS coding
    • Ability to meet 98% accuracy and 10,000+ keystrokes per hour
    • Proficiency in Microsoft Office applications
    • Strong interpersonal, written and verbal communication skills and customer service orientation
    • Ability to work independently and in a team, identify problems and find solutions, and manage time effectively
    • Knowledge of UB04, DWC-9, DWC-10 and CMS-1500 form types
    • Experience with Medical Bill Review

    CorVel Corporation Compensation & Benefits Highlights

    The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CorVel Corporation and has not been reviewed or approved by CorVel Corporation.

    • Wellbeing & Lifestyle Benefits Work-from-home options and schedule flexibility are highlighted as meaningful offsets to lower base pay in certain roles. An Employee Assistance Program and related resources further support everyday wellbeing.
    • Flexible Benefits Multiple medical plan choices with dental/vision and a broad suite of supplemental coverages offer choice tailored to role and location needs. An HSA option with a company match adds flexibility in how healthcare expenses are managed.
    • Retirement Support A 401(k) with a company match is part of the core package.

    CorVel Corporation Insights

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    The Company
    Irvine, CA
    1,987 Employees
    Year Founded: 1987

    What We Do

    CorVel is a leader of risk and healthcare management solutions to employers, third party administrators, insurance companies and government agencies. We are publicly traded and annual revenues exceeded $595 million in FY2019. Our continued customer growth is a testament to our financial stability and our significant investments in new systems and technologies allows us to continue to deliver industry-leading solutions to the marketplace. CorVel has approximately 3,500 associates who serve customers through a national branch office network covering all 50 states.

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