Bill Review Analyst II

CorVel Corporation; Pittsburgh (Allegheny County); Remote; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a detail-oriented individual for a remote position focused on auditing medical bills. This role involves ensuring compliance with state fee schedules and billing guidelines while maintaining high accuracy in data entry. Join a stable and supportive company that values accountability and teamwork, offering numerous opportunities for career advancement. If you have a strong background in medical billing and a commitment to customer service, this is the perfect opportunity for you to thrive in a dynamic environment.

Qualifications

• 1-2 years of data entry experience preferred.
• Knowledge of medical billing and coding is essential.

Responsibilities

• Audit medical bills for accuracy and compliance with guidelines.
• Meet production requirements of 98% accuracy and high keystroke rate.

Skills

Medical Terminology

Workers' Compensation Billing Guidelines

CPT/ICD/HCPS Coding

Problem-Solving

Communication Skills

Organizational Skills

Microsoft Applications

Education

High School Diploma or Equivalent

Job description

Responsible for review, 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.
• Position requires knowledge of the Fee Schedule and the operation of the computer terminal.
• May consult reference materials in the auditing process.
• Requires regular and consistent attendance.
• Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP).
• Additional duties as assigned.

PRODUCTION REQUIREMENTS:

• Based upon situation or state specific issues, meet 98% accuracy, 10,000+ keystrokes per hour.

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.
• Able to work collaboratively and independently.
• Able to identify problems and find creative, effective solutions.
• Able to balance multiple priorities.
• Excellent verbal and written communication skills.
• Highly developed organizational abilities as well as time management skills.
• Must be proficient in Microsoft applications.

EDUCATION & EXPERIENCE:

• High school diploma or equivalent.
• 1-2 years of data entry experience.
• Experience with Medical Bill Review preferred.

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!).

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.