CorVel Corporation
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!).
The Itemization Review Team Lead provides support for the Itemization Review Supervisor while working with IBR team and CERIS internal departments. This is a remote position.
KNOWLEDGE & SKILLS: Understanding of Itemization Review for designated clients Understanding of CERIS systems and Data Base informatics Understanding of HIPAA regulations Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly Demonstrated leadership skills; ability to work with Leadership Team(s) within a positive team environment Strategic problem solving, analytical, and critical thinking skills Effective written and verbal communication skills Ability to work independently and within a team environment Proficiency with Microsoft Office Suite, including Excel, Outlook, Teams EDUCATION & EXPERIENCE: Must maintain current licensure as a Registered Nurse in the state of employment Must have a minimum of 5 years’ experience in Itemization Review Associate Degree in Nursing or higher Experience in medical bill auditing preferred but not mandatory
Maintains Q&A support for the IBR Team Effectively works with coordinator and internal departments for consistency and accuracy of departmental processing needs Collects supporting data and analyzes information to make decisions regarding accuracy of billing Appropriately documents work and final conclusions in designated computer program Meets department's expectations and standards Additional duties as assigned
Basic
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