Setup Analyst I

CERIS•Fort Worth, TX

5d•$13 - $20•Remote

About The Position

Responsible for receiving and entering medical claims while maintaining accuracy and meeting turnaround requirements. The Setup Analyst provides a higher level skillset, supporting the goals of the Setup department, personal growth, and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Ensure bill is eligible for MCS review Handle / organize bills to be entered in a timely fashion Enter bill proficiently and accurately into internal system Communicate any special handling of each claim Maintains production standards and production requirements Comply with standard protocol for processing problem claims Responsible for high profile clients, including production, QC, communications, etc. Train new employees Function as back-up for filter or filter leads Requires punctual and consistent attendance Must be willing and able to work overtime as required Assist co-workers, supervisor and management in accomplishing production goals Maintain HIPAA compliance in all aspects of communications and performance of duties Other duties as assigned

Requirements

Proficient in Microsoft applications
Detail Oriented
Ability to QC personal work product and correct when applicable
Exceptional organizational skills
The ability to work independently, as well as with a team
The ability to work in a fast paced/production environment
Ability to investigate and obtain answers independently
Effective and professional communication skills
Demonstrated problem solving skills and analytical skill
High school diploma or equivalent
Minimum 1 year office experience
Data Entry experience

Responsibilities

Ensure bill is eligible for MCS review
Handle / organize bills to be entered in a timely fashion
Enter bill proficiently and accurately into internal system
Communicate any special handling of each claim
Maintains production standards and production requirements
Comply with standard protocol for processing problem claims
Responsible for high profile clients, including production, QC, communications, etc.
Train new employees
Function as back-up for filter or filter leads
Requires punctual and consistent attendance
Must be willing and able to work overtime as required
Assist co-workers, supervisor and management in accomplishing production goals
Maintain HIPAA compliance in all aspects of communications and performance of duties
Other duties as assigned