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Bill Review Analyst

Greenwood Village, CO

CorVel in Denver, CO is seeking a full time 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.

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 as designated in the states of ID, MT, CO, UT, and NM.
  • 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 Workers' Compensation Medical Bill Review preferred in CO
  • CPC or CPC-A

Additional Information:

  • CO hourly range $14.48 to $20.26

About CorVel

 

Together, let’s do more.

We are a national provider of risk management solutions for the workers’ compensation, auto, health and disability management industries. We provide our clients with the information and insight they need to make smart decisions. We believe that together, we can deliver better results.

Innovation is our passion.

We invest in intelligent systems and the integrated ecosystem that keeps us all connected. Our commitment to innovation is why we are a nationwide leader in technology driven programs.

We strive for excellence.

With the right mix of savings and customer service, we effectively balance risk and reward. Our expertise and service delivery drive the results your program needs and the savings your bottom line wants.

Our purpose is care.

Every injured worker needs timely, compassionate care. We value your people and we advocate care for your employees. This purpose drives what we do together every day, which is to return injured employees to the workplace.