Provider Management Analyst I

CorVel Career Site•Fort Worth, TX

2d•Remote

About The Position

The Provider Management Analyst verifies provider information and documentation requests used to audit claims, including itemized bills, medical records, UB04s, and HCFAs. The role verifies patient, provider contact, and client information to help ensure requests are delivered accurately. This is a remote position. The analyst maintains production and quality standards, communicates issues to leadership, helps coworkers and management meet product goals, and forwards misdirected requests to the correct recipient in a timely manner. The position requires strict confidentiality when handling medical records, protected health information (PHI), and personally identifiable information (PII). Outbound calling may be needed, and other duties may be assigned.

Requirements

High school diploma or equivalent.
Demonstrated knowledge of office experience.
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.
Knowledge of MS Office, including Word, Excel, and Outlook, and the Windows operating system.
Outbound call experience.

Responsibilities

Verify provider information and documentation requests for claims audits, including itemized bills, medical records, UB04s, and HCFAs.
Verify patient, provider contact, and client information to ensure proper delivery of requests.
Communicate identified issues or problems to respective leadership.
Maintain production standards, production requirements, and quality of work.
Assist coworkers, supervisors, and management in accomplishing product goals, and proactively report potential issues.
Forward misdirected requests to the correct recipient in a timely manner.
Maintain strict confidentiality of medical records, PHI, and PII.
Make outbound calls as needed.
Perform additional duties as assigned.