Provider Management Analyst III

CorVel•Benbrook, TX

3d•$18 - $27•Remote

About The Position

The Provider Management Analyst is responsible for verifying provider information and requests for documentation to audit claims including but not limited to itemized bills, medical records, UB04's, HCFA's, etc. Responsibilities include verifying patient information, provider contact information, and client information for accuracy to ensure proper delivery of requests. 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!). 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. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Requirements

Ability to work independently
Strong organization skills
Strong analytical and problem-solving skills
Excellent attention to detail
Ability to deliver results in a timely manner
MS Office including Word, Excel, and Outlook; Windows operating system
Outbound call experience
High School Diploma or equivalent required
Demonstrated knowledge of office experience

Responsibilities

Communicate with respective leadership on any issues or problems identified
Maintain production standards, production requirements, and quality of work
Assist coworkers, supervisor, or management to accomplish product goals; report potential issues in a proactive manner
Timely forward misdirected requests to the correct recipient
Ensure strict confidentiality of all medical records, PHI, and PII
Outbound calling may be needed
Additional duties as assigned