Setup Analyst I

CERIS; Fort Worth (TX); On-site; USD 18,000 - 28,000; Full time

Benefits offered by this job

Medical (HDHP) w/Pharmacy

Dental

Vision

Long Term Disability

Health Savings Account

Flexible Spending Account Options

Life Insurance

Accident Insurance

Critical Illness Insurance

Pre-paid Legal Insurance

Parking and Transit FSA accounts

401K

ROTH 401K

paid time off

Job summary

CERIS, a division of CorVel, is seeking a Setup Analyst in Fort Worth, TX to receive and enter medical claims with accuracy and timely processing. The role supports the Setup department's goals and adheres to HIPAA and quality standards.

Responsibilities include processing claims in internal systems, coordinating with teams, and ensuring production goals are met. A high level of organization and reliability is essential for success in this position.

Qualifications

• Proficient in Microsoft Office applications
• Ability to review departmental work product for quality and correct when applicable
• Demonstrated problem solving skills and analytical skill
• Exceptional organizational skills

Responsibilities

• Receive and enter medical claims with accuracy
• Maintain production standards and meet turnaround requirements
• Communicate any special handling of each claim
• Ensure bills are eligible for MCS review
• May assist training new employees
• Maintain HIPAA compliance in communications and duties

Skills

Microsoft Office

Attention to detail

Quality review

Organizational skills

Education

High school diploma or equivalent

1 year office experience

Data Entry experience

Job description

The Setup Analyst is responsible for receiving and entering medical claims while maintaining accuracy and meeting turnaround requirements. The Setup Analyst provides a high level skillset, supporting the goals of the Setup department, personal growth, and of CorVel.

Job Details

The Setup Analyst is responsible for receiving and entering medical claims while maintaining accuracy and meeting turnaround requirements. The Setup Analyst provides a high level skillset, supporting the goals of the Setup department, personal growth, and of CorVel.

Essential Functions & Responsibilities

• Ensure bill is eligible for MCS review
• Handle/organize bills to be entered timely, proficiently, and accurately into internal system
• Communicate any special handling of each claim
• Maintains production standards and production requirements
• Comply with standard protocol for processing problem claims
• Responsible for high profile clients, including production, QC, communications, etc.
• May assist with training new employees
• Function as back-up for filter or filter leads
• Must be willing and able to work overtime as required
• Assist co-workers, supervisor and management in accomplishing production goals
• Maintain HIPAA compliance in all aspects of communications and performance of duties
• Additional duties as assigned

Knowledge & Skills

• Proficient in Microsoft Office applications
• Attention to detail
• Ability to review departmental work product for quality and correct when applicable
• Exceptional organizational skills
• Ability to work independently, as well as with a team environment
• Ability to work in a fast-paced/production environment
• Ability to investigate and obtain answers independently
• Demonstrated problem solving skills and analytical skill
• Effective and professional verbal and written communication skills

Education & Experience

• High school diploma or equivalent
• Minimum 1 year office experience
• Data Entry experience

Pay Range

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $13.38 - $20.36 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

About Ceris

CERIS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes:

• Medical (HDHP) w/Pharmacy
• Dental
• Vision
• Long Term Disability
• Health Savings Account
• Flexible Spending Account Options
• Life Insurance
• Accident Insurance
• Critical Illness Insurance
• Pre-paid Legal Insurance
• Parking and Transit FSA accounts
• 401K
• ROTH 401K
• paid time off

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.