Provider Management Analyst III jobs in United States
cer-icon
Apply on Employer Site
company-logo

CERIS · 3 months ago

Provider Management Analyst III

CERIS, a division of CorVel Corporation, is dedicated to accuracy and transparency in healthcare payments. The Provider Management Analyst is responsible for verifying provider information and documentation requests to audit claims, ensuring proper delivery of requests and maintaining confidentiality.

Health CareMedicalPayments

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 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

Qualification

Analytical skillsMS Office proficiencyAttention to detailOutbound call experienceTimely results deliveryOrganization skillsProblem-solving skillsWork independently

Required

High School Diploma or equivalent required
Demonstrated knowledge of office experience
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
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
Punctual and consistent attendance required
Additional duties as assigned

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

CERIS

twittertwitter
company-logo
CERiS is a company that detects and resolves payment issues for health claims.