Bill Review Analyst I

CorVel Corporation•Folsom, CA

3d•Hybrid

About The Position

The Bill Review Analyst is responsible for reviewing, auditing and data-entry of medical bills for multiple states and lines of business. This is a hybrid position requiring in person at Folsom, CA office for minimum of 90 days.

Requirements

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
Ability to work independently and in a team environment
Ability to identify problems and find effective solutions
Excellent verbal and written communication skills
Highly developed organizational abilities as well as time management skills
Must be proficient in Microsoft Office applications
High school diploma or equivalent
1-2 years of data entry experience

Nice To Haves

Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types preferred
Experience with Medical Bill Review preferred

Responsibilities

Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines, and PPO discounts
May consult reference materials in the auditing process
Based upon situation or state-specific cases, meet 98% accuracy, 10,000+ keystrokes per hour
Additional duties as assigned