Provider Management Analyst II jobs in United States
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CERIS · 15 hours ago

Provider Management Analyst II

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 ensuring proper documentation for auditing claims.

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
Additional duties as assigned

Qualification

MS OfficeAnalytical skillsAttention to detailOutbound call experienceTimely results deliveryOrganization skillsWork independentlyProblem-solving skills

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

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.