Remote Provider Data & Claims Auditor II

CorVel Corporation; Fort Worth (TX); On-site; USD 42,000 - 61,000; Full time

Job summary

CorVel Corporation, CERIS division, seeks a Provider Management Analyst to verify provider information and documentation for claim audits, including itemized bills and medical records. This is a remote position.

Responsibilities include communicating with leadership, maintaining production standards, and protecting the privacy of PHI and PII. A high school diploma and office experience are required; strong analytic and MS Office skills are essential.

Qualifications

• High School Diploma or equivalent required.
• Demonstrated knowledge of office experience.
• MS Office (Word, Excel, Outlook) and basic computer skills helpful.

Responsibilities

• Communicate with leadership on issues or problems 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 strict confidentiality of all medical records, PHI, and PII.
• Outbound calling may be needed.
• Additional duties as assigned.

Skills

Analytical thinking

Attention to detail

Independent work

Timely delivery

MS Office (Word, Excel, Outlook)

Outbound call experience

Education

High School Diploma or equivalent

Job description

CorVel Corporation, CERIS division, seeks a Provider Management Analyst to verify provider information and documentation for claim audits, including itemized bills and medical records. This is a remote position.

Responsibilities include communicating with leadership, maintaining production standards, and protecting the privacy of PHI and PII. A high school diploma and office experience are required; strong analytic and MS Office skills are essential.