Bill Review Analyst I

CorVel Career Site•Irvine, CA

4d•Hybrid

About The Position

Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This is a hybrid position. ESSENTIAL FUNCTIONS & 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

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
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
Proficient in Microsoft 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
Experience with Medical Bill Review

Responsibilities

Auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines and PPO discounts
Operating the computer terminal
Consulting reference materials in the auditing process
Meeting 98% accuracy and 10,000+ keystrokes per hour production requirements
Complying with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)