Bill Review Manager III

CorVel Career Site•Waukesha, WI

1d•$68,696 - $114,313•Hybrid

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 hybrid position. ESSENTIAL FUNCTIONS & 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

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