Bill Review Analyst I

Bill Review Analyst I

Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This is a hybrid position.

Essential functions and responsibilities include auditing medical bills to ensure they are appropriate and adhere to the State Fee Schedules, customer guidelines and PPO discounts. Position requires knowledge of the Fee Schedule and the operation of the computer terminal. May consult reference materials in the auditing process. Requires regular and consistent attendance. Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP). Additional duties as assigned.

Production requirements include meeting 98% accuracy and 10,000+ keystrokes per hour based upon situation or state specific issues.

Knowledge and skills include knowledge of medical terminology, workers' compensation billing guidelines and fee schedules, knowledge of CPT/ICD/HCPS coding, knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types preferred, strong interpersonal skills and commitment to customer service, ability to work collaboratively and independently, ability to identify problems and find creative, effective solutions, ability to balance multiple priorities, excellent verbal and written communication skills, highly developed organizational abilities as well as time management skills, and proficiency in Microsoft applications.

Education and experience include a high school diploma or equivalent, 1-2 years of data entry experience, and experience with Medical Bill Review preferred.

Pay range: $16.90 - $23.42 per hour.

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.

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.