- Monitor/Audit and report Both Aging Reports for Procurement and Humana
- Monitor/Audit files in Procurement staffs individual Queues via Management Console Tool for accuracy and timely claim processing
- Work through Procurement QC Queue assisting to maintain when Queue is over 2 pages
- Assist Reps with all questions and concerns
- Answer emails from both Procurement and other internal departments and also externally from Clients/Providers in reference to any concerns to complete the processing of claims
- Answer phone calls from both internal departments and externally from Providers in reference to any concerns to complete the processing of claims
- Requires regular and consistent attendance, complying with the company Employee handbook requirements for attendance
- Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
- Additional duties as required by manager or supervisor
- This is an in-office position providing hands on support and directions for immediate team.
- Exceptional organizational skills
- Ability to work independently
- Ability to work in a fast paced/production environment
- Provide QC to handles claims within the dept. / correct when applicable
- Effective and professional communication skills
- Ability to search / find answers
- Demonstrated problem solving skills and analytical skill
- Ability to demonstrate leadership abilities, independent thinking
- Proficient in Microsoft Office applications
- The ability to work in a fast paced/production environment
- High school diploma or equivalent
- 6 months to 1 year office experience
- Minimum one year as Procurement Analyst
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Procurement Team Lead - Dallas, United States - CERIS Health
Description
The Procurement Team Lead position is 50% production and 50% assisting and supporting direct supervisor with ensuring their team meets protocol, as well as, performing supervisor duties if and when the supervisor is out.
This is an in-office role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
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: $ $22.74 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
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.
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