Recovery Team Lead

🔥 13 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $15 - $23 / hour

⏰ Full Time

🟠 Senior

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CorVel Corporation

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1987

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

CorVel Corporation is a risk management and healthcare services company that provides integrated claims and care solutions for payors and employers. It specializes in workers' compensation, liability and disability management, provider and pharmacy networks, and alternative risk solutions, and it offers technology platforms that use AI and data analytics to streamline claims administration, improve outcomes, and reduce costs.

📋 Description

• Analyze and monitor claims audit data across multiple platforms • Manage and prioritize staff daily work assignments for timely and accurate processing • Conduct interdepartmental quality audits and claims processing • Reduce response timeframes and mitigate inquiries or escalations through proactive problem-solving • Set team standards and deadlines, measure results, and provide feedback • Lead team performance and maintain morale through accountability and example • Assist leadership with complex information from financial, clinical, and operational systems • Assist with pricing claims according to provider contracts • Support resolution of customer complaints, inquiries, and bill review disputes • Identify and monitor account-detail and workflow barriers • Make process improvements and initiate problem-resolution actions • Analyze Revenue Cycle transactions and provide trend analysis • Produce daily, monthly, and annual evaluative and statistical reports • Evaluate client data integrity and support Product and Account Management teams • Participate in panel interviews, new-hire documentation, associate orientation, and termination processes • Lead assigned initiatives and coordinate task teams or forums • Review case rates, per diems, discounts, charges, and costs per claim • Handle escalated requests from clients and executive leadership • Support research and development projects, process documentation, training, quality audits, and surge activity • Maintain strict confidentiality of medical records, PHI, and PII

🎯 Requirements

• 5+ years of relevant experience in a medical or insurance field with heavy involvement in bill review processing of claims • 3+ years of previous supervisory, management, or project management experience is a plus • 3+ years of relevant experience or equivalent combination of education and work experience • High School Diploma or higher preferred • Demonstrated knowledge of CMS guidelines and ICD-10 coding guidelines as applicable • Detailed knowledge of pay reimbursement methodology • Strong understanding of claims processing • Strong understanding of ICD-10 coding • Strong understanding of DRG Validation, if applicable • Strong understanding of healthcare revenue cycle and claims reimbursement • Proficiency with MS Office, including Word, PowerPoint, Excel, and Outlook • Knowledge of Windows operating system and Internet • Strong analytical and problem-solving skills • Strong attention to detail • Ability to work independently and use critical thinking • Strong interpersonal skills and adaptive communication style • Ability to think and work independently within a team environment • Ability to maintain confidentiality of medical records, PHI, and PII

🏖️ 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 • Career advancement opportunities • Supportive culture