Itemization Review Team Lead

CorVel Career Site•Fort Worth, TX

10h•Remote

About The Position

The Itemization Review Team Lead provides support for the Itemization Review Supervisor while working with the IBR team and CERIS internal departments. This is a remote position. CERIS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

Requirements

Understanding of Itemization Review for designated clients
Understanding of CERIS systems and Data Base informatics
Understanding of HIPAA regulations
Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly
Demonstrated leadership skills; ability to work with Leadership Team(s) within a positive team environment
Strategic problem solving, analytical, and critical thinking skills
Effective written and verbal communication skills
Ability to work independently and within a team environment
Proficiency with Microsoft Office Suite, including Excel, Outlook, Teams
Must maintain current licensure as a Registered Nurse in the state of employment
Must have a minimum of 5 years’ experience in Itemization Review
Associate Degree in Nursing or higher

Nice To Haves

Experience in medical bill auditing preferred but not mandatory

Responsibilities

Maintains Q&A support for the IBR Team
Effectively works with coordinator and internal departments for consistency and accuracy of departmental processing needs
Collects supporting data and analyzes information to make decisions regarding accuracy of billing
Appropriately documents work and final conclusions in designated computer program
Meets department's expectations and standards
Additional duties as assigned