CorVel Corporation
Overview
Itemization Review Nurse II at CorVel Corporation. The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine the accuracy of billed charges. Responsibilities
Collects supporting data and analyzes information to make decisions regarding accuracy of billing Adequately documents work and final conclusions in designated computer program Understanding of Surgical Implants Meets department's expectations and standards Additional duties as assigned Knowledge & Skills
Understanding of Itemization Review for designated clients Understanding of CERIS systems and Data Base informatics Understanding of HIPAA regulations Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly Demonstrated leadership skills; ability to work with Leadership Team(s) within a positive team environment Strategic problem solving, analytical, and critical thinking skills Effective written and verbal communication skills Ability to work independently and within a team environment Proficiency with Microsoft Office Suite, including Excel, Outlook, Teams Education & Experience
Must maintain current licensure as a Registered Nurse in the state of employment Must have a minimum of 5 years’ experience in the O.R., ICU, or E.R. as an RN Associate Degree in Nursing or higher Experience in medical bill auditing preferred but not mandatory 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 federal, state, and local minimum wage requirements, 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 based on assessment during the interview process, considering 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: $59,681 – $96,123 Benefits & About Ceris
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management. CERIS, a division of CorVel Corporation, offers comprehensive benefits for full-time regular employees, including Medical (HDHP) w/ Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, and more. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. Company & Culture
CERIS is a division of CorVel Corporation, committed to accuracy and transparency in healthcare payments, with core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). CorVel is a Great Place to Work® company with a stable and growing culture and opportunities for career advancement. We embrace ACE-IT and a collaborative work environment.
#J-18808-Ljbffr
Itemization Review Nurse II at CorVel Corporation. The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine the accuracy of billed charges. Responsibilities
Collects supporting data and analyzes information to make decisions regarding accuracy of billing Adequately documents work and final conclusions in designated computer program Understanding of Surgical Implants Meets department's expectations and standards Additional duties as assigned Knowledge & Skills
Understanding of Itemization Review for designated clients Understanding of CERIS systems and Data Base informatics Understanding of HIPAA regulations Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly Demonstrated leadership skills; ability to work with Leadership Team(s) within a positive team environment Strategic problem solving, analytical, and critical thinking skills Effective written and verbal communication skills Ability to work independently and within a team environment Proficiency with Microsoft Office Suite, including Excel, Outlook, Teams Education & Experience
Must maintain current licensure as a Registered Nurse in the state of employment Must have a minimum of 5 years’ experience in the O.R., ICU, or E.R. as an RN Associate Degree in Nursing or higher Experience in medical bill auditing preferred but not mandatory 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 federal, state, and local minimum wage requirements, 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 based on assessment during the interview process, considering 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: $59,681 – $96,123 Benefits & About Ceris
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management. CERIS, a division of CorVel Corporation, offers comprehensive benefits for full-time regular employees, including Medical (HDHP) w/ Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, and more. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. Company & Culture
CERIS is a division of CorVel Corporation, committed to accuracy and transparency in healthcare payments, with core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). CorVel is a Great Place to Work® company with a stable and growing culture and opportunities for career advancement. We embrace ACE-IT and a collaborative work environment.
#J-18808-Ljbffr