Provider Management Analyst III

Overview

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.

• 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 forward misdirected requests to the correct recipient
• Ensure strict confidentiality of all medical records, PHI, and PII
• Outbound calling may be needed
• Punctual and consistent attendance required
• Additional duties as assigned

• 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, Excel, and Outlook;
  Windows operating system
• Outbound call experience

• High School Diploma or equivalent required
• Demonstrated knowledge of office experience

Pay Range: $17.93 - $26.79 per hour

CERIS, a division of Cor Vel Corporation, a certified Great Place 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 healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities.

We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes 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.

Fort Worth, TX