Procurement Analyst I jobs in United States
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CERIS · 3 weeks ago

Procurement Analyst I

CERIS, a division of CorVel Corporation, is seeking a Procurement Analyst I to support Enhanced Bill Review Programs. The role involves securing essential medical documentation, managing inquiries, and ensuring compliance with quality standards, particularly HIPAA regulations.

Health CareMedicalPayments

Responsibilities

Spend approximately 80-85% of the shift making outbound calls to providers to obtain required information; may also send email or fax requests
Respond to inbound calls regarding claim status and related inquiries
Maintain accurate records of all communications between the company, providers, and referring clients
Verify that all documentation received is complete and accurate in accordance with established Quality Assurance protocols
Escalate issues or concerns to the appropriate Lead, Supervisor, or Manager as needed
Ensure HIPAA compliance in all communications and documentation
Consistently meet production standards and quality benchmarks
Collaborate with team members and management to achieve departmental goals; proactively identify and report potential issues
Assist with training and onboarding of new employees as required
Additional duties as assigned

Qualification

Microsoft OfficeVerbal communicationWritten communicationAttention to detailOrganizational skillsOutbound call centerData entryTeamworkIndependent workFast-paced environment

Required

High school diploma or equivalent
6 months to 1 year of office experience
Excellent verbal and written communication skills with a focus on phone etiquette
Proficient in Microsoft Office applications
Attention to detail
Exceptional organizational skills
Ability to work independently and within a team environment
Ability to work in a fast-paced production environment

Preferred

Outbound call center experience
Data Entry experience

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

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