03/24/2026
The Revenue Cycle Specialist is responsible for analysis and monitoring of claims audit data across multiple platforms. Performs various follow-up activities to ensure the accuracy and appropriateness of reimbursement made to healthcare providers. Responsibilities include identifying payment variances and working internally and externally to resolve such issues.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Analyze and adjust/reprice claims to ensure accurate reimbursement rates in accordance with contractual agreements and payer guidelines
Establishing and maintaining accurate pricing structures and rules to ensure competitive and profitable pricing strategies across various claims
with precision Identifies errors in reconciliation files across multiple work streams and business units for multiple sites and with external partners.
Performs contract and reimbursement variance analysis.
Analyzes claims data to identify...
CorVel
Fort Worth, TX, USA
Full Time
