CorVel Corporation · 2 months ago
Bill Review Manager III
CorVel Corporation is a national provider of industry-leading risk management solutions. The Bill Review Manager is responsible for overseeing the operations of a designated bill review office, focusing on financial operations, team management, and compliance with regulatory requirements.
InsuranceSoftware
Responsibilities
Responsible for financial operations, including, but not limited to: productivity, profitability, expenses, budgeting, billing and collections
Responsible for implementing new business development, including marketing and sales activities
Responsible for directing a team of employees in their day-to-day operations ensuring productivity and quality goals are met in accordance with company expectations
Responsible for quality provider, claims, and client interaction
Responsible for human resources matters
Must be able to travel overnight and attend meetings
Requires regular and consistent attendance
Visit CorVel customers and participate in training sessions with management
Represents the company in a professional manner to both internal and external customers and clients
Directs the performance and development of the employees in their department. Assures peak performance of the team through continued training and coaching, coupled with regular performance evaluations
Ensures staff compliance with Workers’ Compensation laws and ensures mandated regulatory reporting requirements
Utilizes Jurisdictional Expertise and knowledge of regulatory rules, statutes and procedures governing the jurisdictions assigned to ensure compliance Acts as subject matter expert for appropriate jurisdictions
May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses
May be required to visit customers and participate in training sessions with management
Monitors operational workflow and manages appropriate/adequate staffing levels and staff retention strategies
Develops and oversees the implementation of common bill review practices and procedures
Promotes operational efficiency and quality by continuously improving processes, people and systems to enhance efficiency, consistency and quality
Ensures consistent and complete compliance with CorVel’s policies and procedures
Comply with all safety rules and regulations during work hours in conjunction with the Injury Illness Prevention Program (IIPP)
Additional projects and duties as assigned
Qualification
Required
Bachelor's degree, national certification or a combination of education and related experience
Minimum of 2 years' experience medical billing and supervisory/management experience
Excellent written and verbal communication skills
Ability to assist team members to develop knowledge and understanding of bill review practice
Effective quantitative, analytical and interpretive skills
Technical knowledge of laws, policies, and procedures in defined territory
Strong leadership, management and motivational skills
Ability to travel overnight and attend meetings if required
Ability to remain poised in stressful situations and communicate diplomatically via telephone, computer, fax, correspondence, etc
Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
Strong interpersonal, time management and organizational skills
Ability to work both independently and within a team environment
Knowledge of processing bills on multiple lines of business
Knowledge of medical terminology, medical billing codes, applicable state fee schedules and/or U&C charge processing
Contract interpretation
Ability to be a liaison between multiple departments within the company
Responsible for financial operations, including, but not limited to: productivity, profitability, expenses, budgeting, billing and collections
Responsible for implementing new business development, including marketing and sales activities
Responsible for directing a team of employees in their day-to-day operations ensuring productivity and quality goals are met in accordance with company expectations
Responsible for quality provider, claims, and client interaction
Responsible for human resources matters
Must be able to travel overnight and attend meetings
Requires regular and consistent attendance
Visit CorVel customers and participate in training sessions with management
Represents the company in a professional manner to both internal and external customers and clients
Directs the performance and development of the employees in their department. Assures peak performance of the team through continued training and coaching, coupled with regular performance evaluations
Ensures staff compliance with Workers' Compensation laws and ensures mandated regulatory reporting requirements
Utilizes Jurisdictional Expertise and knowledge of regulatory rules, statutes and procedures governing the jurisdictions assigned to ensure compliance Acts as subject matter expert for appropriate jurisdictions
May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses
May be required to visit customers and participate in training sessions with management
Monitors operational workflow and manages appropriate/adequate staffing levels and staff retention strategies
Develops and oversees the implementation of common bill review practices and procedures
Promotes operational efficiency and quality by continuously improving processes, people and systems to enhance efficiency, consistency and quality
Ensures consistent and complete compliance with CorVel's policies and procedures
Comply with all safety rules and regulations during work hours in conjunction with the Injury Illness Prevention Program (IIPP)
Additional projects and duties as assigned
Preferred
Certified Professional Coder (CPC) designation preferred
Benefits
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
Paid time off
Company
CorVel Corporation
CorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry.
Funding
Current Stage
Public CompanyTotal Funding
unknown1991-07-05IPO
Recent News
CorVel Corp.
2025-11-04
2025-10-22
2025-10-06
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