CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Norristown, PA.
Work from home, and on the road.
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others.Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans.Evaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness.Provides assessment, planning, implementation and evaluation of patient’s progress. Attends doctors, other providers, home and in some cases, attorney’s visits. Attends hospital and/or long-term facility discharge planning conferences, et cetera for the purpose of determining appropriateness of care and developing an effective long-term care strategy. Initial home visit for initial evaluation.Implements care such as negotiation the delivery of durable medical equipment and nursing services. This role requires regular travel, dependent on the injured worker’s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month This role may require overnight travel.KNOWLEDGE & SKILLS:
Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment.Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred.Ability to meet with the patient, their physicians, other healthcare providers, attorneys, and advisors/clients and coworkers.A cost containment background, such as utilization review or managed care is helpful.Strong interpersonal, time management and organizational skills.Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets.Ability to work both independently and within a team environment.EDUCATION & EXPERIENCE:
Graduate of accredited school of nursing.Current RN Licensure in state of operation.Certification as a CCM, CIRS, or other Case Management certifications are preferred.A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required.PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $62,306 – $93,123
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
About CorVel – Medical Case Managers
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States 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. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Hybrid
Read LessCorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Norristown, PA.
Work from home, and on the road.
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others.Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans.Evaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness.Provides assessment, planning, implementation and evaluation of patient’s progress. Attends doctors, other providers, home and in some cases, attorney’s visits. Attends hospital and/or long-term facility discharge planning conferences, et cetera for the purpose of determining appropriateness of care and developing an effective long-term care strategy. Initial home visit for initial evaluation.Implements care such as negotiation the delivery of durable medical equipment and nursing services. This role requires regular travel, dependent on the injured worker’s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month This role may require overnight travel.KNOWLEDGE & SKILLS:
Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment.Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred.Ability to meet with the patient, their physicians, other healthcare providers, attorneys, and advisors/clients and coworkers.A cost containment background, such as utilization review or managed care is helpful.Strong interpersonal, time management and organizational skills.Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets.Ability to work both independently and within a team environment.EDUCATION & EXPERIENCE:
Graduate of accredited school of nursing.Current RN Licensure in state of operation.Certification as a CCM, CIRS, or other Case Management certifications are preferred.A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required.PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $62,306 – $93,123
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
About CorVel – Medical Case Managers
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States 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. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Hybrid
Read LessCorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Norristown, PA.
Work from home, and on the road.
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others.Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans.Evaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness.Provides assessment, planning, implementation and evaluation of patient’s progress. Attends doctors, other providers, home and in some cases, attorney’s visits. Attends hospital and/or long-term facility discharge planning conferences, et cetera for the purpose of determining appropriateness of care and developing an effective long-term care strategy. Initial home visit for initial evaluation.Implements care such as negotiation the delivery of durable medical equipment and nursing services. This role requires regular travel, dependent on the injured worker’s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month This role may require overnight travel.KNOWLEDGE & SKILLS:
Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment.Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred.Ability to meet with the patient, their physicians, other healthcare providers, attorneys, and advisors/clients and coworkers.A cost containment background, such as utilization review or managed care is helpful.Strong interpersonal, time management and organizational skills.Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets.Ability to work both independently and within a team environment.EDUCATION & EXPERIENCE:
Graduate of accredited school of nursing.Current RN Licensure in state of operation.Certification as a CCM, CIRS, or other Case Management certifications are preferred.A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required.PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $62,306 – $93,123
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
About CorVel – Medical Case Managers
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States 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. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Hybrid
Read LessThe Procurement Team Lead position is 50% production and 50% assisting and supporting direct supervisor with ensuring their team meets protocol, as well as, performing supervisor duties if and when the supervisor is out.
This is an onsite role reporting to the Fort Worth, TX office.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Monitor/Audit and report Both Aging Reports for Procurement and HumanaMonitor/Audit files in Procurement staffs individual Queues via Management Console Tool for accuracy and timely claim processingWork through Procurement QC Queue assisting to maintain when Queue is over 2 pagesAssist Reps with all questions and concernsAnswer emails from both Procurement and other internal departments and also externally from Clients/Providers in reference to any concerns to complete the processing of claimsAnswer phone calls from both internal departments and externally from Providers in reference to any concerns to complete the processing of claimsRequires regular and consistent attendance, complying with the company Employee handbook requirements for attendanceComply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)Additional duties as required by manager or supervisorKNOWLEDGE & SKILLS:
Exceptional organizational skillsAbility to work independentlyAbility to work in a fast paced/production environmentProvide QC to handles claims within the dept. / correct when applicableEffective and professional communication skillsAbility to search / find answersDemonstrated problem solving skills and analytical skillAbility to demonstrate leadership abilities, independent thinkingProficient in Microsoft Office applicationsThe ability to work in a fast paced/production environmentEDUCATION & EXPERIENCE:
High school diploma or equivalent6 months to 1 year office experienceMinimum one year as Procurement AnalystPAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $15.26 - $23.28 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
About CERiS
CERiS, a division of CorVel 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.
#LI-Onsite
Read LessResponsible for planning, leading and coordinating a team of registered nurse hospital bill auditors. This team performs on site and remote hospital bill audits.
This a remote role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Utilize nursing education, experience and industry best practices to lead a team of registered nurses to plan, execute and deliver timely and accurate provider hospital bill auditsDirect the training, professional development, and retention for the nurse auditorsEnsure accuracy of audits through acquired knowledge of client policies, provider contract information, and other standard guidelinesAssist in the development and support of auditors to meet and exceed productivity requirements based on CERiS productivity standardsAct as a point of contact to answer and resolve auditor issues with the goal of providing excellent customer service and relationship management Perform audits as necessary Responsible for managing the daily file flow coming into Medical Review while maintaining awareness of potential file flow from other departments to track rush or special files, test files, pilot studies for prospective clientsAcknowledge and oversight of work assigned, maintain timely communication with Audit Coordinator, schedule and complete audits in an efficient and timely manner Research and respond to staff questions and concerns in a timely, professional mannerOversee performance evaluations for direct report staff for approval by VP of Operations on annual basis in accordance with company best practicesResponsible for human resources matters directly related to department staff under direct supervision including documentation of events or occurrences and verbal counseling direct report staff when attendance or performance deficiencies are discoveredResponsible for payroll matters directly related to department staff under direct supervision including documentation or direct communication with payroll department Assist with scheduling and initial screening of candidates for open positions, reporting to VP of Operations with final decision Participate in provider calls and meetings for designated clienteleMay be required to travel overnight and attend meetings or training of various for Hospital Bill Audit review. Must be willing to travel to provider facilities for onsite audits as needed Additional duties as assigned executive leadershipKNOWLEDGE & SKILLS:
Knowledge of acute hospital billing requirements including UB-04’s, itemized bills, revenue codes, CPT/HCPCS codes, ICD10 diagnosis and procedure codesWillingness to engage in both tactical, hands-on work, and strategic work as needed to manage and complete prioritiesAbility to write and speak clearly, easily communicating complex ideas across multiple platformsAbility to think critically and work independently to meet deadlines and complete prioritiesAbility to remain poised in stressful situations and communicate diplomatically via telephone, computer, fax, correspondence, etcAbility to drive execution by understanding actions and performance necessary for continuous improvement Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheetsExceptional organizational skillsEDUCATION & EXPERIENCE:
Associate’s degree and current RN license in the State of Texas. Bachelor’s or Master’s degree in nursing preferred5+ years of experience in healthcare facility charge audit or related experiencePrevious supervisory/management experience a plusAdditional certifications in nursing, business management and medical bill review preferredPAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $85,230 – $131,586
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
About CERiS
CERiS, a division of CorVel 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.
#LI-Remote
Read LessThe CareIQ Service Coordinator provides administrative customer service and file management assistance to claimants, providers, claims professionals, and case managers regarding new and ongoing ancillary healthcare services. Utilizing proprietary systems and knowledge from training, a CareIQ Service Coordinator will provide excellent telephonic and written customer service to both inbound and outbound customers. A CareIQ Service Coordinator operates with a high focus on accuracy, urgency and communication to ensure that services are completed on schedule and without interruption.
This is a remote role, candidate needs to reside and work in Eastern or Central time zone.
A wired connection to your modem from a broadband internet network with a minimum bandwidth of at least 3 Mbps is required for this position.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
Provides telephonic customer service in an inbound and outbound high-volume call-center environment.Completes accurate data review and entry.Able to learn and operate corporate proprietary systems.Requests and reviews treatment and appointment documentation to verify completion and accuracy.Completes administrative review of claim authorization, referral orders, appointment notes and reports to ensure services that have been completed, ordered and authorized are in alignment.Ensures all case stakeholders are updated regularly.Types and proofreads reports and correspondence via email and management systems.Transcribes correspondence/reports from dictation.Uses problem solving and critical thinking skills to ensure daily scheduling challenges do not cause delays in securing appointments.Requires regular and consistent attendance.Meets departmental production and quality performance expectations.Complies with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP).Additional duties as required.KNOWLEDGE & SKILLS:
Process oriented and effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment.Excellent written and verbal communication skills.Ability to meet designated deadlinesComputer proficiency and technical aptitude with the ability to utilize MS Office and Proprietary SystemsStrong interpersonal, time management and organizational skillsAbility to maintain a professional and courteous demeanor that sets tone for complex telephonic conversations.Ability to work both independently and within a team environment.EDUCATION/EXPERIENCE:
High School diplomaPrior work experience in a detail oriented customer service environmentPAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your loca-tion. Pay rates are established taking into account the following factors: federal, state, and local mini-mum wage requirements, the geographic location differential, job-related skills, experience, qualifica-tions, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifica-tions, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $15.26 - $23.28 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
About CorVel
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States 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.
#LI-Remote
Read LessThe Account Manager is responsible for interacting with customers on an executive level and acting as an extension of the client; understanding and communicating agreed upon expectations to field offices and increasing the market share of business by providing service that meets and exceeds customer expectations, stewardship reporting, commitment to customer goals, and introducing/selling/implementing additional services.
This is a hybrid role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provide consultative customer services for one or more new or established accountsIntroduce new services independently or with assistance as neededHandle local or regional accountsManage accounts with revenue in one region and a minimum revenue amount of $1m per account with a combined revenue for all accounts of over $3.Revenue growth with existing accountsAccounts Receivable - Responsible for all aspects of collections in conjunction with the respective operations managementClient Stewardship- Responsible for conducting regular stewardship meetings and overseeing the integrity and delivery of client specific reports and information. Must perform in a consultative role identifying trends and providing CorVel solutions to market and business challengesClient Retention - Maintain continuous communication with customer(s) to ensure that all service expectations are identified and maintained. Communicate and engage senior management in account status, challenges and goals. Every national account and large account will have an RVP assigned as a senior operations representative to the accountSurface issues or potential issues to appropriate members of the management and executive team proactively to remedy immediate concerns after they become issues. Maintain an open items matrix to document all issues and resolutionFacilitate and coordinate internal customer set-up and external implementationCoordinate and attend customer meetings. Ensure appropriate CorVel participants are engagedDiscuss, understand, and meet agreed upon standards as mutually determined by CorVel and customerDevelop/maintain account service instructions/communicate to service staff and post on the IntranetManage contract renewals/price increases; coordinate with the AE and/or management team as appropriatePresent information to assigned customers in an organized and persuasive fashion for contract renewals, service issue discussions, or additional product salesRegular attendance on the Monthly Account Manager CallMonthly account updates and all new service opportunities documented in Salesforce.comFollow CorVel policies and proceduresRequires regular and consistent attendanceComply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)Additional duties may be assignedKNOWLEDGE & SKILLS:
Reliable professional with the ability to achieve balance between customer orientation and a results-driven approachKnowledge of CorVel's services and completion of all CorVel Product Training ModulesBusiness acumen, coupled with enthusiasm and decorumExcellent communication/presentation skills and ability to build relationshipsStrong interpersonal skills and commitment to customer serviceAble to work collaboratively and independentlyHighly developed organizational abilities as well as analytical and time management skillsMust be proficient in Microsoft applications and CRM software (Salesforce)EDUCATION & EXPERIENCE:
Bachelor's degree, national certification or equivalent in business or sales and marketingDemonstrated experience in management or supervisionTraining within the insurance industry, managed care or related field preferredPAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $81,617 – $135,877
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL:
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States 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.
#LI-Hybrid
Read LessThe Policy and Payment Integrity Analyst II assists with the development, implementation, and maintenance of an effective compliance policy and payment integrity program for our multi-state healthcare organization. This individual is responsible for researching and identifying best practices in the development and implementation of payment policy, and/or policy initiatives; researching various healthcare policies; interpreting client, state, and CMS payment policies; assist in writing white papers and other documents that are used to assist in the review of claims for hospital bill audits.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Research and assist in executing and developing programs addressing healthcare payer policy changes and/or other topics identified as potential risk areasMaintain an awareness of current laws, statutes, regulations, etc. that impact healthcare operations, and design strategies and solutions to addressResearch, interpret and apply CMS, Federal, State and client policies to claims reviewVerbally communicate interpretation of CMS, Federal, State and client policies to providersCoordinate compliance policy development and/or revision as neededGather appropriate compliance controls are in place as required by state and federal lawsTrack current and pending legislation and program changes while coordinating communication and implementation activities within the organizationDemonstrate ability to manage multiple projects, set priorities and manage to committed scheduleConsolidate all program and industry related documentation in company SharePoint siteBuild external alliances with customers and industry experts to gain and share information and industry trendsAct as a resource for leadership and Account ManagementPerforms provider contract review based on business needsAssists organization in obtaining complex information from various financial, clinical and operational systems and data sources related to policy reviewAssists with evaluation of client data related to policy review and/or implementation including actively participating with and supporting the Product and Account Management teams with trend analysisAdditional duties as assignedKNOWLEDGE & SKILLS:
Ability to demonstrate understanding of CMS and commercial payer policy in written and verbal format Strong understanding of claims processing, ICD-10 Coding, DRG Validation, Coordination of BenefitStrong understanding of healthcare revenue cycle and claims reimbursementProficient in Microsoft Office including Pivot Tables and Database ManagementComfortable interfacing with clients and the C-SuiteDemonstrate ability to manage multiple projects, set priorities and manage to committed scheduleStrong interpersonal skills and adaptive communication style, complex problem solving skills, drive for results, innovativeExcellent written and verbal communication skillsProven track record of delivering concrete results in strategic projects/programsStrong analytical and modeling ability and distilling data into actionable resultsSuperb attention to detail and ability to deliver results in a fast paced and dynamic environmentEDUCATION & EXPERIENCE:
Must maintain a current RN licensurePrevious experience in one or more of the following areas required:
Medical bill auditingExperience in the acute clinical areas of facilities in O.R., I.C.U., C.C.U., E.R., Telemetry, Medical/Surgical, OB or L&D, Geriatrics and OrthopedicsKnowledge of worker's compensation claims processProspective, concurrent and retrospective utilization reviewBachelor’s degree in healthcare or related field5+ years healthcare revenue cycle5+ years of relevant experience or equivalent combination of education and work experience3+ years hospital bill audit1+ year project managementPAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $68,566 – $104,841
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
About CERiS
CERiS, a division of CorVel 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.
#LI-Remote
Read LessThe Accounting Coordinator compiles data, computes fees and charges and prepares invoices for billing purposes, aiding in the collection of revenues, supporting the goals of a billing center of <$50k per month and of CorVel.
This is a remote role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Must be able to complete the following essential functions on a regular and consistent basis after being in the position for the timeframes listed below:Research unresolved items prior to month-end closing and resolve. Keep closing unresolved balance from 0-1% of A/R (2 mos.)Keep 90-day balance to less than 10% of A/R (3 mos.)Maintain DSO to standard determined by management (3 mos.)Develop and define monthly A/R Collection plan and supervisor procedures (2 mos.)Balance spreadsheet, prepare reports, and close month without assistance on schedule (1-2 mos.)Understand and follow procedures for cash, transfers, refunds, and billing (1-2 mos.)Keep 120-day balance at 0 to less than 5% of A/RUnderstand the various billing processesEndorse incoming checks and makes deposits dailyRespond to accounts receivable inquiries and provide information to field offices, co-workers, and management by telephone, in written form, e-mail, or in personRequires regular and consistent attendanceComply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (“IIPP”)Additional duties as requiredKNOWLEDGE & SKILLS:
Basic knowledge and understanding of accounting proceduresProficient in Microsoft applications, with emphasis on excel spreadsheets10-key by touchMust be able to communicate clearly via written and verbal communication techniquesStrong interpersonal skills, good problem solving skills, and ability to meet goals and deadlinesAttention to detail and ability to perform in a fast paced and dynamic environmentEDUCATION & EXPERIENCE:
Associate’s degree with 1 year experience in accounts payable, or High school diploma (or equivalent) and 3 years A/R experiencePAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $22.63 - $33.77 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL:
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States 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.
#LI-Remote
Read LessCERIS is seeking a Certified Coder. The CERIS Certified Coder reverse code previously coded medical bills to determine coding accuracy.
This is a remote role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Receives claim and processes based on state rules and regulationsDetermine validity and compensability of the claim using CorVel proprietary programsMake recommendations to referring officeCommunicate claim status with referring officeRead and comprehend all medical reportsAdhere to client and carrier guidelines and participate in claims review as neededAssists other claims professionals with more complex or problematic claims as necessaryAdditional duties/responsibilities as assignedComply with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program (“IIPP”), as well as, maintain HIPAA complianceKNOWLEDGE & SKILLS:
Ability to learn rapidly to develop knowledge and understanding of claims practiceStrong organizational skillsAbility to meet or exceed performance competenciesEffective and professional communication skillsAbility to handle stressful situations, and use critical and strategic thinkingDemonstrated outstanding leadership, problem solving, and analytical skillsAbility to think and work independently, while working in an overall team environmentProficient in Microsoft Office Suite, especially Excel and OutlookEDUCTION & EXPERIENCE:
High School diploma, or equivalentCurrent AAPC certification (which must be maintained throughout employment as current and active status)Certification as CPC with the AAPC for more than 2 years (w/ surgical or office experience)Current or recent orthopedic billing/coding experienceE/M coding/down-coding experienceEncoderPro software experienceTexas workers compensation experience is preferredPain Management/Anesthesia/General Surgery coding experience is preferredPAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $42,899 – $64,162
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CERIS:
CERIS, a division of CorVel 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.
#LI-Remote
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