CorVel Corporation · 5 months ago
Appeals Representative II
United States
Full-time
Remote
Mid Level
$18.80/hr - $30.34/hr
3+ years expCorVel Corporation is a certified Great Place to Work® Company dedicated to accuracy and transparency in healthcare payments. The Appeals Representative II is responsible for addressing provider inquiries and appeals, ensuring adherence to client policy and industry standards while completing appeals in a timely manner.
InsuranceSoftware
Responsibilities
Reviews, analyzes, and completes appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication
Ability to appropriately interpret provider appeals and apply analytical thinking skills
Ability to interpret client policy and CMS guidelines as it relates to reviews done by CERiS such as itemized bill
Utilize applicable tools and resources to complete appeals
Timely completion of appeals
Additional duties as assigned
Qualification
Required
Prior knowledge of inpatient and outpatient hospital revenue cycle required
Excellent written and verbal communication skills
Contract interpretation, medical terminology and coding knowledge
Proficiency with Microsoft applications
High school diploma or equivalent
3+ years of healthcare revenue cycle experience (collections, appeals, denials management, etc)
2+ years working with customers in a fast‐paced, deadline‐oriented environment
2+ years experience as an Appeals Representative
Strong attention to detail, organizational and time management skills with the ability to interpret, research and identify core issues
Strong customer focus, analytical and decision making skills
Strong technical skills with the ability to work across multiple software systems and comfortable work remote out of your home
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
Company
CorVel Corporation
CorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry.
1001-5000 employees
Funding
Current Stage
Public CompanyTotal Funding
unknown1991-07-05IPO
Leadership Team
Jeff Gurtcheff
Chief Claims Officer
Maxim Shishin
CIO
Recent News
CorVel Corp.
2025-11-04
2025-10-22
2025-10-06
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