Bill Review Analyst I

CorVel Corporation; Remote; USD 60,000 - 80,000; Full time

Job summary

A national risk management firm is seeking a detail-oriented individual to audit medical bills, ensuring compliance with state guidelines and PPO discounts. The role requires knowledge of medical terminology, billing guidelines, and coding. Candidates should have a high school diploma and 1-2 years of data entry experience. Attention to detail and strong communication skills are essential. This is a remote position with comprehensive benefits, including medical, dental, and 401K options.

Benefits

Comprehensive benefits package

Medical with Pharmacy

Flexible Spending Account Options

401K and ROTH 401K

Qualifications

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

Responsibilities

• Audit medical bills for adherence to guidelines and fee schedules.
• Consult reference materials during the auditing process.
• Achieve 98% accuracy with 10,000+ keystrokes per hour.

Skills

Knowledge of medical terminology

Knowledge of workers’ compensation billing guidelines and fee schedules

Knowledge of CPT/ICD/HCPS coding

Strong interpersonal skills

Ability to work independently

Excellent verbal and written communication skills

Proficient in Microsoft Office applications

Education

High school diploma or equivalent

Job description

CA - Sacramento Folsom 1180 Iron Point Rd Suite 300 Folsom, CA 95630, USA

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.

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.

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.