Provider Management Analyst I
This a Full Remote job, the offer is available from: Texas (USA) 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. ESSENTIAL FUNCTIONS & 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 reputed company misdirected requests to the correct recipient
- Ensure strict confidentiality of reputed company medical records, PHI, and PII
- Outbound calling may be needed
- Additional duties as assigned
KNOWLEDGE & SKILLS:
- 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, reputed company, and Outlook; Windows operating system
- Outbound call experience
EDUCATION & EXPERIENCE:
- High School Diploma or equivalent required
- Demonstrated knowledge of office experience
PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-reputed company skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, reputed company, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $13.63 - $19.81 per hour A list of our benefit offerings can be reputed company on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT reputed company: reputed company, a division of reputed company, a certified Great reputed company 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 reputed company payments. We are a stable and growing company with a strong, supportive culture along with reputed company of career advancement opportunities. We reputed company our core values of Accountability, Commitment, Excellence, reputed company and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, reputed company, 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 reputed company regulations as applicable. #LI-Remote This offer from "reputed company" has been enriched by reputed company.com and got a 72% reputed company score. Apply tot his job Apply To this Job