Bill Review Analyst I

CorVel Corporation•Village of North Syracuse, NY

13h•$16 - $23

About The Position

The Bill Review Analyst reviews, audits, and enters medical bill data for multiple states and lines of business. The role may be performed remotely, in a hybrid arrangement, or onsite. Analysts audit bills to verify that charges are appropriate and comply with state fee schedules, customer guidelines, and PPO discounts. Reference materials may be used during the audit process. Depending on the situation or state-specific requirements, the role calls for 98% accuracy and a typing speed of more than 10,000 keystrokes per hour. Additional duties may be assigned.

Requirements

High school diploma or equivalent.
1–2 years of data entry experience.
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 and time management skills.
Proficiency in Microsoft Office applications.

Nice To Haves

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

Responsibilities

Review and audit medical bills for multiple states and lines of business.
Ensure medical bills are appropriate and adhere to state fee schedules, customer guidelines, and PPO discounts.
Consult reference materials as needed during the auditing process.
Meet 98% accuracy and 10,000+ keystrokes per hour based on the situation or state-specific cases.
Perform additional duties as assigned.