The CERIS Policy & Payment Integrity Coordinator (PPI Coordinator) plays a key role in supporting the Policy and Payment Integrity teams by managing workflow, ensuring timely assignment of appeals, and maintaining accurate tracking systems. This role requires strong organizational skills, attention to detail, and the ability to manage multiple priorities in a fast-paced environment.
This a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
- Manage and monitor general PPI department mailboxes to ensure timely review and routing of incoming correspondence
- Assign appeals to appropriate team members based on established workflows and production needs
- Maintain and update appeal trackers to ensure accurate and current data is available for reporting and performance monitoring
- Track the status of assigned appeals to support timely completion and compliance with internal expectations and external deadlines
- Identify workflow delays or discrepancies in tracking systems and escalate to leadership as appropriate
- Collaborate with supervisors and team leads to balance workloads and support production goals
- Assist with preparing reports, summaries, or metrics related to appeals volume, assignments, and completion rates
- Support special projects, audits, and process improvements as directed by leadership
- Maintain confidentiality and compliance with organizational policies and applicable regulations
- Additional duties as assigned
KNOWLEDGE & SKILLS:
- Strong organizational and time management skills with the ability to prioritize tasks effectively
- Excellent written and verbal communication skills
- Strong attention to detail and accuracy
- Ability to work both independently and collaboratively within a team environment
- Proficiency in Microsoft Office applications (Excel, Outlook, Word) and ability to learn internal systems
EDUCATION & EXPERIENCE:
- High school diploma or equivalent required
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: $23.74 - $30.85 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 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, 401 K, ROTH 401 K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
Equal Opportunity EmployerThis 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.
Similar Jobs
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.
