Medicare Medical Coordinator I

Job Description

Job Description

Join a growing team of Medicare specialists and healthcare professionals dedicated to delivering high-quality Medicare compliance solutions. The Medicare Medical Coordinator plays a key role in supporting Medicare lien resolution, medical cost projections, and Medicare Set-Aside services. This position works closely with Certified Nurse Medicare Specialists and Nurse Life Care Planners to ensure accuracy, quality, and exceptional client service.

This is an excellent opportunity for an organized and detail-oriented professional with medical terminology knowledge who enjoys working in a collaborative, fast-paced environment where their contributions directly impact client outcomes.

Essential Functions & Responsibilities

• Proofread, format, and quality-review medical reports, cost projections, and client correspondence for accuracy and consistency.
• Assist in the preparation of Medicare-related documentation, including lien and medical cost projection support activities.
• Verify the accuracy of ICD diagnosis codes and medication information
• Provide customer support by communicating with Medicare Advantage Plans, subrogation offices, healthcare providers, and other stakeholders.
• Review, extract, and organize medical records and supporting documentation.
• Upload and manage documents within government portals and internal systems while maintaining confidentiality and compliance standards.
• Track and prioritize multiple assignments to ensure timely completion of deliverables.
• Support Certified Nurse Medicare Specialists, Nurse Life Care Planners, and the broader nursing team with administrative and project-related activities.
• Perform other duties as assigned to support departmental and organizational goals.

Knowledge & Skills

• Strong understanding of medical terminology and healthcare documentation.
• Exceptional attention to detail and commitment to quality and accuracy.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Excellent written, verbal, and interpersonal communication skills.
• Proficiency with Microsoft Office applications, including Word, Excel, Outlook, and document management systems.
• Strong analytical, organizational, and time management skills.
• Ability to work independently while also contributing effectively within a collaborative team environment.
• Demonstrated professionalism, adaptability, and customer service orientation.

Education & Experience

Required:

• • High school diploma or equivalent.

Preferred:

• • Experience working with medical terminology and healthcare records.
  • Clinical, medical office, healthcare administration, workers' compensation, case management, or insurance industry experience.
  • Experience reviewing medical records and healthcare documentation.
  • Associate's degree, medical assistant certification, or other healthcare-related education.

Why Join Us?

• Work alongside experienced Medicare Specialists and Nurse Life Care Planners.
• Gain specialized knowledge in Medicare compliance and medical cost projections.
• Be part of a collaborative, mission-driven team focused on delivering exceptional service.
• Opportunity for professional development and career growth within a respected industry leader.

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: $14.68 - $22.69 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 CORVEL:

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States 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, and paid time off.

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

#LI-Onsite