Provider Management Analyst I at CERIS in Fort Worth, TX

Job description

• The Provider Management Analyst is responsible for verifying provider information and requests for documentation to audit claims including but not limited to itemized bills, medical records, UB04’s, HCFA’s, etc. Responsibilities include verifying patient information, provider contact information, and client information for accuracy to ensure proper delivery of requests.
• This is a remote position.

Responsibilities

• Communicate with respective leadership on any issues or problems identified
• Maintain production standards, production requirements, and quality of work
• Assist coworkers, supervisor, or management to accomplish product goals; report potential issues in a proactive manner
• Timely forward misdirected requests to the correct recipient
• Ensure strict confidentiality of all medical records, PHI, and PII
• Outbound calling may be needed
• Additional duties as assigned

Requirements

• Ability to work independently
• Strong organization skills
• Strong analytical and problem-solving skills
• Excellent attention to detail
• Ability to deliver results in a timely manner
• MS Office including Word, Excel, and Outlook; Windows operating system
• Outbound call experience
• High School Diploma or equivalent required
• Demonstrated knowledge of office experience

Skills

Required

• Ability to work independently
• Strong organization skills
• Excellent attention to detail
• Outbound call experience

Benefits

• 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: $13.94 - $20.27 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.