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Bill Review Analyst

Rancho Cucamonga, CA 91730

JOB SUMMARY:

CorVel is seeking a Bill Review Analyst for our Rancho Cucamonga, CA office . The Bill Review Analyst is responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.

About CorVel

CorVel, a certified Great Place to Work® company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 3500 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes 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, and paid time off

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

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable

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.