JOB SUMMARY:

Responsible for participating in the daily operations and maintenance of Specialty Services Network Bill Review Department. Primary duties include processing claims for workers compensation managed care services.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

• Responsible for receiving claims and assessing all payer claims and accounts for billing compliance.
• Assist other billing professionals with more complex or problematic claims, as necessary.
• Requires regular and consistent attendance.
• Compliance of the organizations confidentiality policy in accordance to Health Insurance Portability and Accountability Act (HIPAA) regulations.
• Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP).
• Other tasks as assigned by supervisor and manager.

KNOWLEDGE & SKILLS:

• Computer proficiency and technical aptitude with the ability to utilize Microsoft based applications (i.e. Outlook, Word, and Excel)
• Excellent written and verbal communication skills.
• Ability to prioritize and manage multiple projects and maintain deadlines.
• Strong interpersonal, time management and organizational skills.
• Ability to work both independently and within a team environment.

EDUCATION/EXPERIENCE:

• High School diploma or equivalent required.

Application Instructions:

In order to provide equal employment and advancement opportunities to all individuals, employment decisions at CorVel will be based on merit, qualifications and abilities. Except where required or permitted by law, employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex, national origin, ancestry, citizenship, age, handicap or disability, marital status, medical condition or any other characteristic protected by applicable law. Please be aware that CorVel generally does not review all applications submitted in response to job openings posted on the Internet because of the large volume of responses. Note to Employment Agencies: Please do not forward agency resumes. CorVel Corporation is not responsible for any fees related to unsolicited resumes.