Remote Provider Data & Claims Analyst II

CERIS; Fort Worth (TX); On-site; USD 44,729,000 - 68,255,000; Full time

Benefits offered by this job

Medical (HDHP) w/Pharmacy

Dental

Vision

Life Insurance

401K

Paid time off

Job summary

CERIS, a division of CorVel Corporation, is seeking a Provider Management Analyst to verify provider information and requests for documentation to audit claims, including itemized bills and medical records. This remote role emphasizes accuracy and confidentiality in handling PHI and PII.

Responsibilities include coordinating with leadership, maintaining production standards, and timely forwarding misdirected requests while upholding strict privacy and data security practices.

Qualifications

• High School Diploma or equivalent required.
• Demonstrated knowledge of office experience.

Responsibilities

• Communicate with leadership on issues identified.
• Maintain production standards and quality of work.
• Assist coworkers, supervisor, or management to accomplish product goals; report potential issues proactively.
• Timely forward misdirected requests to the correct recipient.
• Ensure confidentiality of all medical records, PHI, and PII.
• Outbound calling may be needed.
• Additional duties as assigned.

Skills

Independent work

Organization

Analytical thinking

Attention to detail

Timely results

MS Office (Word, Excel, Outlook)

Outbound call experience

Education

High School Diploma or equivalent

Office experience

Tools

MS Office

Windows OS

Job description

CERIS, a division of CorVel Corporation, is seeking a Provider Management Analyst to verify provider information and requests for documentation to audit claims, including itemized bills and medical records. This remote role emphasizes accuracy and confidentiality in handling PHI and PII.

Responsibilities include coordinating with leadership, maintaining production standards, and timely forwarding misdirected requests while upholding strict privacy and data security practices.