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CorVel Healthcare Corporation • Remote • Posted 8 days ago via ZipRecruiter
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The Appeals Representative Team Lead at CorVel Healthcare Corporation is responsible for addressing provider inquiries and appeals via various communication methods, ensuring adherence to client policy, industry standards, and regulatory guidelines. This remote position involves reviewing and completing appeals, interpreting client policy and CMS guidelines, and utilizing tools and resources to complete tasks. The role requires strong analytical, communication, and technical skills, as well as a high school diploma or equivalent and over 3 years of healthcare revenue cycle experience.
About CorVel Healthcare Corporation
CorVel Corporation operates in the risk management solutions industry, specializing in workers' compensation, auto, health, and disability management. They offer a wide range of products and services, including Workers' Compensation Advocacy, Virtual Care, Case Management, Bill Review, Pharmacy Benefit Management, Liability Management, and Alternative Risk Solutions like Care MC Edge and CogencyIQ, to help businesses effectively manage their risks. Join their team to contribute to the field of risk management or partner with them for tailored risk management solutions backed by their experienced executive team and industry recognition for innovation.
The Appeals Representative is responsible for addressing provider inquiries and appeals via email, fax, telephone, or written correspondence ensuring adherence to client policy, industry standards along with CMS and state guidelines as well as client instructions.
This is remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
KNOWLEDGE & SKILLS:
EDUCATION & EXPERIENCE:
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: $18.36 - $29.63 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
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.
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