Bill Review Analyst I

CorVel; Folsom (CA); Remote; USD 60,000 - 80,000; Full time

Job summary

A national risk management company is seeking a Bill Review Analyst to join its remote team. Responsibilities include reviewing and auditing medical bills for appropriateness according to state guidelines and ensuring customer satisfaction. The ideal candidate will have strong knowledge of medical billing, excellent communication skills, and 1-2 years of data entry experience. This position offers a pay range of $16.50 - $22.89 per hour alongside a comprehensive benefits package.

Benefits

Comprehensive benefits package

401K and ROTH 401K options

Paid time off

Qualifications

• 1-2 years of data entry experience.
• Experience with Medical Bill Review preferred.

Responsibilities

• Review and audit medical bills for compliance with guidelines.
• Consult reference materials during the auditing process.
• Meet accuracy standards and keystroke requirements.

Skills

Medical terminology knowledge

Workers’ compensation billing guidelines knowledge

CPT/ICD/HCPS coding knowledge

Interpersonal skills

Problem identification and solution skills

Excellent verbal and written communication

Organizational abilities

Microsoft Office proficiency

Education

High school diploma or equivalent

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: $16.50 - $22.89 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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Equal Opportunity Employer
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