COR1025CVEL Jobs

Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. . ESSENTIAL FUNCTIONS & RESPONSIBILITIES. Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines and PPO discounts. Position requires knowledge of the Fee Schedule and the operation of the computer terminal. May consult reference materials in the auditing process...

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Waldorf, MD. Work from home, and on the road. Monday – Friday, regular business hours. As a Medical Case Manager, you will make a meaningful difference in the lives of injured workers and their families.  Your responsibilities include working closely with injured workers to facilitate their recovery. You wil...

CorVel is hiring a Medical Only Claims Specialist for our Syracuse, NY office. The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel. . ESSENTIAL FUNCTIONS & RESPONSIBILITIES. Receives claims, confirms policy coverage and acknowledgement of the claim. Determines the validity an...

JOB SUMMARY. The National Account Manager is responsible for interacting with customers on an executive level and acting as an extension of the client. understanding and communicating agreed upon expectations to CERiS Executive team and increasing the market share of business by providing service that meets and exceeds customer expectations, stewardship reporting, commitment to customer goals, and introducing/selling/implementing additional servi...

The Auto/PD Liability Claims Specialist manages within company best practices complex and non-complex Auto and General Liability claims.  Additionally, the Specialist will work within delegated authority to best possible outcomes for CorVel and our clients. Opportunity for remote work. . ESSENTIAL FUNCTIONS & RESPONSIBILITIES. Receives claims, confirms policy coverage and acknowledgment of the claim. Renders a Liability determination on each clai...

This role is responsible for addressing client, patient and/or provider inquiries via email, fax, telephonic, or written correspondence ensuring adherence to contractual and state guidelines as well as client instructions. Intake representative will gather information from either the injured worker, employer or attorney and then input information into system for the scheduling assistant to make appointments for necessary treatment. This position ...

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Orange County, CA area. Work from home, and on the road. Monday – Friday, regular business hours. As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their reco...

The Diagnostic Related Groups (DRG) Clinical Audit Trainer is responsible for training new DRG validation staff on how to complete reviews of medical records and/or other documentation to determine correct DRG/coding that is clinically supported as defined by review methodologies specific to the contract for which review services are being provided. This involves completing medical review forms, accurately documenting findings and non-findings, a...

As a Capture Center Specialist, you will be responsible for the quality and pre-processing of invoices and medical bills for our external customers and for our parent company, CorVel. Depending on the department, this processing might include retrieval, receiving, and preparing customer mail for scan. scanning documents on high speed scanners. performing quality checks including some data entry on the data record associated with documents. intera...

CorVel is hiring a Telephonic Case Manager for the Tallahassee, FL area. The Telephonic Case Manager coordinates resources and creates flexible, cost-effective options for ill or injured individuals on a case-by-case basis to facilitate quality individualized treatment goals, including timely return-to-work if appropriate. The Telephonic Case Manager will rely on their medical knowledge to evaluate the patient’s current treatment plan for medical...

The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay. supporting the goals of the Case Management department, and of CorVel. . ESSENTIAL FUNCTIONS AND RESPONSIBILITIES. Identifies the necessity of the review process and communicates any specific issues o...

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Austin, TX. Work from home, and on the road. Monday – Friday, regular business hours. As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families.  Your responsibilities include working closely with injured workers to facilitate their recovery. You will ...