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Bill Review Analyst I

Remote · Kenya Full-time

CorVel Corporation is a national provider of industry-leading risk management solutions for various sectors. They are seeking a Bill Review Analyst I responsible for reviewing, auditing, and data-entry of medical bills, ensuring compliance with state fee schedules and customer guidelines.

Responsibilities

  • Responsible for auditing medical bills to ensure that 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

Skills

  • Responsible for auditing medical bills to ensure that 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)
  • Based upon situation or state specific issues meet 98% accuracy, 10,000+ keystrokes per hour
  • Knowledge of medical terminology, workers' compensation billing guidelines and fee schedules
  • Knowledge of CPT/ICD/HCPS coding
  • Strong interpersonal skills and commitment to customer service
  • Able to work collaboratively and independently
  • Able to identify problems and find creative, effective solutions
  • Able to balance multiple priorities
  • Excellent verbal and written communication skills
  • Highly developed organizational abilities as well as time management skills
  • Must be proficient in Microsoft applications
  • High school diploma or equivalent
  • 1-2 years of data entry experience
  • Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types preferred
  • Experience with Medical Bill Review preferred

Benefits

  • 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

Company Overview

  • CorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry. It was founded in 1987, and is headquartered in Irvine, California, USA, with a workforce of 1001-5000 employees. Its website is https://www.corvel.com/.
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