Mid-level Itemization Review Nurse - Remote - Comprehensive Benefits
CorVel Corporation
Mid-level
$59.7k - $96.1k YEARLY
Remote
Posted 5 days ago
Job summary
Join CorVel Corporation's healthcare team as an Itemization Review Nurse, focusing on accurate medical billing. You'll lead the analysis of billing data, ensuring accuracy in charges for surgical services. CorVel's a stable, growing company offering comprehensive benefits and opportunities for career growth. Apply now to be a key player in a supportive team environment while maintaining high standards of healthcare billing accuracy.
Role details
- Role
- Full-time
- Industry
- Healthcare And Medical
- Employment
- Fulltime
- Experience
- 5 Years +
- Education
- Associate Degree In Nursing
Responsibilities
- collect supporting data and analyze information to make decisions regarding accuracy of billing
- appropriately document work and final conclusions in designated computer program
- understanding of surgical implants
- understanding of ceris systems and data base informatics
- capability to meet department expectations and standards
- be a team player working with leadership teams within a positive team environment
- additional duties/responsibilities as assigned
- comply with all safety rules/regulations, in conjunction with the injury and illness prevention program, as well as, maintain hipaa compliance
Requirements
- must maintain current licensure as a registered nurse in the state of employment
- experience in medical bill auditing preferred but not mandatory
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
Key skills
Nursing
Medical Billing
Surgical Implants
Ceris Systems
Data Base Informatics
Organizational Skills
Strategic Thinking
Critical Thinking
Communication Skills
Leadership
Problem Solving
Analytical Skills
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- The Itemization Review Nurse will provide a Summary and analysis of items by reviewing all charges submitted on a UBIB provided by a medical facility to determine accuracy of charges billed.
This is a remote role.
ESSENTIAL FUNCTIONS \& RESPONSIBILITIES:
Collect supporting data and analyze information to make decisions regarding accuracy of billing
Appropriately document work and final conclusions in designated computer program
Understanding of Surgical Implants
Understanding of CERiS systems and Data Base informatics
Capability to meet department expectations and standards
Be a team player working with Leadership Team(s) within a positive team environment
Additional duties/responsibilities as assigned
Comply with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program (“IIPP”), as well as, maintain HIPAA compliance
KNOWLEDGE \& SKILLS:
Exceptional organizational, strategic and critical thinking skills
Effective and professional communication skills
Ability to handle stressful situations and adapt accordingly
Demonstrated outstanding leadership, problem solving, and analytical skills
Ability to think and work independently, while working in an overall team environment
Proficient in Microsoft Office Suite, Excel, Outlook, and Skype for Business
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 R.N.
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 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: $59,681 – $96,123
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.
\#LI\-Remote
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.