Remote Repricing QA Analyst I

CorVel Corporation; Fort Worth, Northern (TX, KY); Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

Medical and Pharmacy Insurance

Dental Insurance

Vision Insurance

401K and ROTH 401K

Paid Time Off

Job summary

CorVel Corporation is seeking a Repricing Quality Assurance Analyst I in Fort Worth, Texas. The role covers monitoring repricing audit data for accuracy and compliance while collaborating with internal teams to enhance operational effectiveness.

The ideal candidate will have strong knowledge in repricing claims processing and a minimum of 5 years in relevant fields. The position promotes a supportive culture and offers comprehensive employee benefits.

Qualifications

• 5+ years in medical/insurance repricing, claims processing, or auditing.
• 3+ years in quality assurance or equivalent combination of education and experience.
• Repricing or network contracting experience preferred.

Responsibilities

• Identify and resolve quality issues within repricing processes.
• Develop and implement QA policies and procedures.
• Monitor compliance with pricing guidelines and contractual requirements.
• Investigate repricing discrepancies and apply corrective actions.
• Prepare QA reports and documentation.

Skills

Repricing claims processing

Healthcare revenue cycle knowledge

Regulatory compliance knowledge

Microsoft Office proficiency

Analytical skills

Communication skills

Attention to detail

Teamwork

Education

High School Diploma

Associate's or Bachelor's degree preferred

Job description

CorVel Corporation is seeking a Repricing Quality Assurance Analyst I in Fort Worth, Texas. The role covers monitoring repricing audit data for accuracy and compliance while collaborating with internal teams to enhance operational effectiveness.

The ideal candidate will have strong knowledge in repricing claims processing and a minimum of 5 years in relevant fields. The position promotes a supportive culture and offers comprehensive employee benefits.