CERIS Policy & Payment Integrity Coordinator I

Essential Functions & Responsibilities

• Manage and monitor general PPI department mailboxes to ensure timely review and routing of incoming correspondence
• Assign appeals to appropriate team members based on established workflows and production needs
• Maintain and update appeal trackers to ensure accurate and current data is available for reporting and performance monitoring
• Track the status of assigned appeals to support timely completion and compliance with internal expectations and external deadlines
• Identify workflow delays or discrepancies in tracking systems and escalate to leadership as appropriate
• Collaborate with supervisors and team leads to balance workloads and support production goals
• Aid in preparing reports, summaries, or metrics related to appeals volume, assignments, and completion rates
• Support special projects, audits, and process improvements as directed by leadership
• Maintain confidentiality and compliance with organizational policies and applicable regulations

Knowledge & Skills

• Strong organizational and time management skills with the ability to prioritize tasks effectively
• Excellent written and verbal communication skills
• Strong attention to detail and accuracy
• Ability to work both independently and collaboratively within a team environment
• Proficiency in Microsoft Office applications (Excel, Outlook, Word)
• Ability to learn internal systems

About Ceris

CERIS, a division of CorVel Corporation, is a certified Great Place to Work® Company committed to accuracy and transparency in healthcare payments through its clinical expertise and cost containment solutions. CERIS is known for its supportive culture and numerous career advancement opportunities.

Benefits

• 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, 401 K, ROTH 401 K, and paid time off

Equal Opportunity Employer

CorVel is an Equal Opportunity Employer that complies with ADA regulations as applicable.