Itemization Review Coordinator at CERIS

Job Details

The Itemization Review Coordinator is responsible for maintaining a consistent workflow by distributing claims to Quality Control and Itemization Review Nurses. Keep track of current volume on an individual basis to ensure even distribution throughout department.

This is a remote position.

Essential Functions & Responsibilities

• Monitor incoming and existing claims and distribute to staff based on priority and due date
• Maintain and update departmental spreadsheets and attendance calendar per supervisor request
• Ensure an even and fair distribution of claims to staff
• Notify staff of priority claim assignments
• Notify supervisor(s) of claims requiring/receiving extensions
• Notify supervisor(s)/management of back log files, late files, low census, and waiting list
• Update SharePoint website as required
• Assist supervisor(s)/management to identify potential issues in a pro-active manner
• Maintaining/updating/assisting with all New Hire documentation/packets
• Maintain supplies for department
• Assist Education Nurse(s) with updating syllabus and creating training manuals
• Maintain HIPAA compliance in all aspects of communication
• Additional duties as assigned

Knowledge & Skills

• Ability to maintain accuracy during data entry
• Proficient in Microsoft Office Suite, Outlook, Excel and Word
• Detail oriented
• Exceptional organizational skills
• Ability to work independently in a fast-paced production environment
• Effective written and verbal communication skills
• Ability to type at least 60 wpm

Education & Experience

• High School Diploma or equivalent experience required
• 6 months to 1 year office 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: $24.30 - $36.30 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

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.