Job Description

Customer Service Representative I

The Customer Service Representative is responsible for addressing client and/or provider inquiries via email, fax, telephonic, or written correspondence ensuring adherence to contractual and state guidelines as well as client instructions. This is a remote position.

Essential Functions & Responsibilities:

• Take inbound calls and makes outbound calls as needed.
• Analyze client and provider inquiries to determine appropriate steps for resolution.
• Perform review of claim history to ensure accurate information is communicated to internal and external customer.
• Work 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 working remote out of your home

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: $13.63 - $21.00 per hour

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.

CERIS, a division of CorVel Corporation, 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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