Bill Review Analyst I

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