Remote Provider Data & Claims Auditor III

CorVel Corporation; Fort Worth (TX); Remote; USD 42,000 - 60,000; Full time

Job summary

CERIS, a division of CorVel Corporation, is seeking a Provider Management Analyst to verify provider information and document requests for auditing claims, including itemized bills and medical records. This is a remote position, with responsibilities spanning data accuracy, confidentiality, and effective communication with leadership.

Ideal candidates will have a high school diploma, healthcare experience, strong analytical skills, and proficiency in MS Office.

Qualifications

• High School Diploma or equivalent required.
• Experience in healthcare or provider management preferred.
• Ability to maintain confidentiality of PHI and PII.

Responsibilities

• Communicate with leadership on issues identified.
• Maintain production standards and quality of work.
• Assist coworkers, supervisor, or management to accomplish goals; report 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

Independent work

Analytical thinking

Attention to detail

Time management

MS Office

Outbound calls

Education

High School Diploma

Tools

MS Office Suite

Windows OS

Job description

CERIS, a division of CorVel Corporation, is seeking a Provider Management Analyst to verify provider information and document requests for auditing claims, including itemized bills and medical records. This is a remote position, with responsibilities spanning data accuracy, confidentiality, and effective communication with leadership.

Ideal candidates will have a high school diploma, healthcare experience, strong analytical skills, and proficiency in MS Office.