Remote Repricing QA Analyst I - Healthcare Claims

CorVel Corporation; Fort Worth (TX); On-site; USD 26,463 - 39,578; Full time

Benefits offered by this job

Medical (HDHP) w/Pharmacy

Dental

Vision

401(k)

Paid time off

Job summary

CorVel Corporation is seeking a Repricing Quality Assurance Analyst to ensure accuracy and compliance in repricing audit data. This remote position requires analyzing processes and collaborating with internal teams to enhance operational effectiveness.

Ideal candidates will have at least 5 years in medical/insurance repricing and strong analytical skills. The role offers a competitive pay range of $19.21 - $28.73 per hour, along with various benefits including medical, dental, and a 401(k).

Qualifications

• 5+ years in medical/insurance repricing or claims processing.
• 3+ years in quality assurance or equivalent.
• 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.

Skills

Strong understanding of repricing claims processing

Knowledge of healthcare revenue cycle

Proficiency in Microsoft Office

Excellent analytical skills

High attention to detail

Education

High School Diploma or higher

Associated or Bachelor's degree preferred

Job description

CorVel Corporation is seeking a Repricing Quality Assurance Analyst to ensure accuracy and compliance in repricing audit data. This remote position requires analyzing processes and collaborating with internal teams to enhance operational effectiveness.

Ideal candidates will have at least 5 years in medical/insurance repricing and strong analytical skills. The role offers a competitive pay range of $19.21 - $28.73 per hour, along with various benefits including medical, dental, and a 401(k).