See all roles

[Remote] Provider Management Analyst II

Work from home Full-time role Hiring

Note: The job is a remote job and is open to candidates in USA. 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.

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

Skills

  • 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 Overview

  • CERiS is a company that detects and resolves payment issues for health claims. It was founded in 1990, and is headquartered in Fort Worth, Texas, USA, with a workforce of 501-1000 employees. Its website is https://www.ceris.com/.
  • Apply To This Job

    You might like

    Product Operations Analyst (Risk & Controls)

    Work from home Full-time role

    E-commerce Customer Service Representative

    Work from home Full-time role

    Data Engineer

    Work from home Full-time role

    Actuarial Analyst

    Work from home Full-time role

    Employment Attorney

    Work from home Full-time role

    [Remote] Student Loan Specialist

    Work from home Full-time role

    Manager, Integrated Planning (Roundel Go-To-Market)

    Work from home Full-time role

    Sr. Owners Site Representative

    Work from home Full-time role

    Senior Solutions Developer (ATLAS) – Inventory Purchasing and Positioning

    Work from home Full-time role

    Store Experience Sr Business Partner, Print Production

    Work from home Full-time role

    Compassionate Live Chat Support Representative – Family Services & Online Assistance Specialist at arenaflex

    Work from home Full-time role

    Experienced Virtual Data Entry Clerk for Remote Beginner-Level Position – Unlock Endless Career Opportunities with blithequark

    Work from home Full-time role

    [PART_TIME Remote] Customer Service And Sales Support

    Work from home Full-time role

    Entry Level Pharmacist Remote Data Entry Specialist - Work From Home Opportunity with Walgreens

    Work from home Full-time role

    Proposal Writer, Enterprise Marketing

    Work from home Full-time role

    Customer Expert - Spanish - Greece

    Work from home Full-time role

    (Virtual Assistant Remote Jobs) UPS Data Entry Clerk Typing - Work...

    Work from home Full-time role

    Urgently Hiring: Want Intermediate Electrical Engineer - Remote

    Work from home Full-time role

    Remote Call Center Representatives – Medicaid Member Support

    Work from home Full-time role

    LOGISTICS COORDINATOR PART TIME

    Work from home Full-time role