Bill Review Manager I

CorVel Career Site • Dallas, TX

8h • Remote

About The Position

The Bill Review Manager is responsible for the overall operation of a designated bill review office. The Manager participates in formulating and administering company best practices as well as developing long-range goals and objectives, analyzing costs, activities and operations, supporting the goals of Bill Review department and of CorVel. This is a remote position.

Requirements

• Excellent written and verbal communication skills
• Ability to assist team members to develop knowledge and understanding of bill review practice
• Effective quantitative, analytical and interpretive skills
• Technical knowledge of laws, policies, and procedures in defined territory
• Strong leadership, management and motivational skills
• Ability to travel overnight and attend meetings if required
• Ability to remain poised in stressful situations and communicate diplomatically via telephone, computer, fax, correspondence, etc.
• Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
• Strong interpersonal, time management and organizational skills
• Ability to work both independently and within a team environment
• Knowledge of processing bills on multiple lines of business
• Knowledge of medical terminology, medical billing codes, applicable state fee schedules and/or U&C charge processing
• Contract interpretation
• Ability to be a liaison between multiple departments within the company
• Bachelor's degree, national certification or a combination of education and related experience
• Minimum of 2 years’ experience medical billing and supervisory/management experience

Nice To Haves

• Certified Professional Coder (CPC) designation preferred
• Licenses as required

Responsibilities

• Responsible for financial operations, including, but not limited to: productivity, profitability, expenses, budgeting, billing and collections
• Responsible for implementing new business development, including marketing and sales activities
• Responsible for directing a team of employees in their day-to-day operations ensuring productivity and quality goals are met in accordance with company expectations
• Responsible for quality provider, claims, and client interaction
• Responsible for human resources matters
• Must be able to travel overnight and attend meetings
• Requires regular and consistent attendance
• Visit CorVel customers and participate in training sessions with management
• Represents the company in a professional manner to both internal and external customers and clients
• Directs the performance and development of the employees in their department.
• Assures peak performance of the team through continued training and coaching, coupled with regular performance evaluations
• Ensures staff compliance with Workers’ Compensation laws and ensures mandated regulatory reporting requirements
• Utilizes Jurisdictional Expertise and knowledge of regulatory rules, statutes and procedures governing the jurisdictions assigned to ensure compliance
• Acts as subject matter expert for appropriate jurisdictions
• May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses
• May be required to visit customers and participate in training sessions with management
• Monitors operational workflow and manages appropriate/adequate staffing levels and staff retention strategies
• Develops and oversees the implementation of common bill review practices and procedures
• Promotes operational efficiency and quality by continuously improving processes, people and systems to enhance efficiency, consistency and quality
• Ensures consistent and complete compliance with CorVel’s policies and procedures
• Comply with all safety rules and regulations during work hours in conjunction with the Injury Illness Prevention Program (IIPP)
• Additional projects and duties as assigned

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager