Bill Review Analyst II

CorVel; Portland (OR); Remote; USD 80,000 - 100,000; Full time

Job summary

An established industry player is seeking a detail-oriented individual for a remote role focused on auditing medical bills across multiple states. This position requires a strong understanding of medical terminology and billing guidelines, along with excellent organizational and communication skills. As part of a supportive team, you will ensure compliance with state regulations while managing a high volume of data entry. The company offers a comprehensive benefits package and values accountability and teamwork, making it an ideal environment for professional growth and development.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401K Plan

Paid Time Off

Flexible Spending Account

Long Term Disability

Life Insurance

Qualifications

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

Responsibilities

• Audit medical bills for compliance with guidelines and fee schedules.
• Ensure accuracy with a target of 98% and manage 10,000+ keystrokes per hour.

Skills

Medical Terminology

Workers’ Compensation Billing Guidelines

CPT/ICD/HCPS Coding

Interpersonal Skills

Problem-Solving

Microsoft Applications

Organizational Abilities

Time Management Skills

Education

High School Diploma

1-2 Years of Data Entry Experience

Job description

Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.

This is a remote role. Candidates must reside in the greater Portland, OR area.

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

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: $18.80 - $30.34 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
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.