Bill Review Analyst I

About the role

This is a hybrid position responsible for reviewing, auditing, and data-entering medical bills for multiple states and lines of business.

Essential Functions & Responsibilities

• Auditing medical bills to ensure appropriateness and adherence to State Fee Schedules, customer guidelines, and PPO discounts
• Consulting reference materials in the auditing process
• Maintaining regular and consistent attendance
• Complying with safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
• Additional duties as assigned

Production Requirements

• Meet 98% accuracy
• Enter 10,000+ keystrokes per hour

Knowledge & Skills

• Medical terminology and workers’ compensation billing guidelines
• CPT/ICD/HCPCS coding
• UBO4/DWC-9/DWC-10 and CMS 1500 form types
• Strong interpersonal and customer service skills
• Collaborative and independent problem-solving abilities
• Excellent verbal and written communication skills
• Highly organized and skilled in time management
• Proficient in Microsoft applications

Education & Experience

• High school diploma or equivalent
• 1-2 years of data entry experience
• Experience with medical bill review preferred

Pay Range

Pay Range: $16.90 - $23.42 per hour

For leveled roles (I, II, III, Senior, Lead, etc.), new hires may be slotted into a different level, either up or down, based on assessment during the interview process.

About Corvel

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health, and disability management industries. Founded in 1987 and publicly traded on the NASDAQ stock exchange since 1991, CorVel continually invests in human capital and technology to deliver innovative and integrated solutions to clients. With over 4,000 employees across the United States, CorVel embraces core values of Accountability, Commitment, Excellence, Integrity, and Teamwork (ACE-IT!) and offers a comprehensive benefits package including 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.