Job Details
Description
CorVel is seeking a Bill Review Analyst. The Bill Review Analyst is responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This position is a remote work opportunity for candidates in Virginia.
ESSENTIAL FUNCTIONS AND 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.
PRODUCTION REQUIREMENTS:
- Based upon situation or state specific issues meet 98% accuracy, 10,000+ keystrokes per hour
KNOWLEDGE & SKILLS:
- 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.
- 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.
EDUCATION/EXPERIENCE:
- High school diploma or equivalent
- 1-2 years of data entry experience
- Experience with Medical Bill Review preferred