Medical Bill Review Analyst I

CorVel Corporation; Charlotte (NC); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading risk management solutions provider is hiring a Medical Bill Review Analyst to remotely audit and review medical bills. Strong knowledge of medical terminology and billing guidelines is required. Candidates should have a high school diploma and 1-2 years of data entry experience. The pay range is $13.08 - $22.89 per hour with a comprehensive benefits package for full-time employees.

Benefits

Comprehensive benefits package

Flexible spending account options

401K and ROTH 401K options

Qualifications

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

Responsibilities

• Audit medical bills for compliance with fee schedules and guidelines.
• Maintain a high level of accuracy in data entry.
• Consult reference materials during the auditing process.

Skills

Knowledge of medical terminology

Knowledge of workers’ compensation billing guidelines

Strong interpersonal skills

Excellent verbal communication skills

Proficient in Microsoft applications

Education

High school diploma or equivalent

Tools

CPT/ICD/HCPS coding knowledge

UBO4/DWC-9/DWC-10 and CMS 1500 form types knowledge

Job description

CorVel is hiring a Medical Bill Review Analyst. The Bill Review Analyst is responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.

This is a remote role.

Essential Functions And 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: $13.08 - $22.89 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

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.