Responsible for addressing client and/or provider inquiries via email, fax, telephonic, or written correspondence according to internal and client guidelines.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

• Take inbound calls and makes outbound calls as needed.
• Analyzes client and provider inquiries to determine appropriate steps for resolution.
• Performs review of claim history to ensure accurate information is communicated to internal and external customers
• Works directly with internal departments and management for resolution of Customer Service inquiries
• Able to accurately communicate CERiS findings to clients and providers in written and verbal format.
• Maintain reports and spreadsheets as needed.
• Additional duties as assigned.

KNOWLEDGE & SKILLS:

• Excellent communication, verbal, written and organizational skills
• Prior knowledge of inpatient and outpatient hospital revenue cycle required
• Excellent written and verbal communication skills.
• Contract interpretation, medical terminology and coding knowledge.
• Proficiency with Microsoft applications.

EDUCATION/EXPERIENCE:

• High school diploma or equivalent
• 3+ years of healthcare revenue cycle experience (collections, appeals, denials management, etc)
• 2+ years working with customers in a fast-paced, deadline-oriented environment
• 2+ years experience as a Customer Service representative
• Strong attention to detail, organizational and time management skills with the ability to interpret, research and identify core issues
• Strong customer focus, analytical and decision making skills
• Strong technical skills with the ability to work across multiple software systems and comfortable work remote out of your home

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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