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Familiarity with workers’ compensation industry practices and professional standards including but not limited to claims, utilization review, case management, medical bill review, pharmacy benefit management, ancillary care, PPO, and state-specific networks.
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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.
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As the Compliance Director, you will be responsible for managing workers’ compensation regulatory risk by ensuring business operations are performing in compliance with federal, state, and local laws.
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Experience in workers’ compensation or risk management preferred. In-depth understanding of state and federal laws governing workers’ compensation, including knowledge of regulatory agencies and requirements.
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The Medicare Set-Aside Consultant develops reports based upon guidelines provided by the Centers for Medicare and Medicaid Services outlining the future Medicare-covered expenses of individuals whose workers’ compensation or other liability claims are in the settlement process.
$50,593 - $81,593 a yearFull-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager. Prospective, concurrent and retrospective utilization review.
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The Data Verification Specialist is responsible for all bill review clerical functions, including mail, prepping and scanning medical bills, data entry, data verification and assisting with various phone and email tasks to support the bill review department.
$15.13 - $22.36 an hourFull-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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The Professional Review Specialist provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills to determine appropriateness of medical care.
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Knowledge of worker's compensation claims process. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
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Professional Review Specialist II (Certified Coder) 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.
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Knowledge of the workers’ compensation claims process. The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay; supporting the goals of the Case Management department, and of CorVel.
$29.25 - $43.72 an hourFull-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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The Admin Assistant is responsible for all bill review clerical functions, including mail, prepping and scanning medical bills, data entry, data verification and assisting with various phone and email tasks to support the bill review department.
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Pay Range: $56,860 – $91,580 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management 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.
$56,860 - $91,580 a yearFull-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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Knowledge of medical terminology, workers' compensation billing guidelines and fee schedules. Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.
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Experience with Medical Bill Review preferred. A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management. Knowledge of CPT/ICD/HCPS coding.
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review workers compensation jobs Company: Corvel
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