CERIS Policy & Payment Integrity Coordinator I jobs in United States
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CorVel Corporation · 13 hours ago

CERIS Policy & Payment Integrity Coordinator I

CorVel Corporation is a certified Great Place to Work® Company dedicated to accuracy and transparency in healthcare payments. The PPI Coordinator plays a key role in supporting the Policy and Payment Integrity teams by managing workflow, ensuring timely assignment of appeals, and maintaining accurate tracking systems.

InsuranceSoftware

Responsibilities

Manage and monitor general PPI department mailboxes to ensure timely review and routing of incoming correspondence
Assign appeals to appropriate team members based on established workflows and production needs
Maintain and update appeal trackers to ensure accurate and current data is available for reporting and performance monitoring
Track the status of assigned appeals to support timely completion and compliance with internal expectations and external deadlines
Identify workflow delays or discrepancies in tracking systems and escalate to leadership as appropriate
Collaborate with supervisors and team leads to balance workloads and support production goals
Assist with preparing reports, summaries, or metrics related to appeals volume, assignments, and completion rates
Support special projects, audits, and process improvements as directed by leadership
Maintain confidentiality and compliance with organizational policies and applicable regulations

Qualification

Microsoft Office SuiteOrganizational skillsTime managementAttention to detailWritten communicationVerbal communicationTeam collaborationIndependent work

Required

Strong organizational skills
Attention to detail
Ability to manage multiple priorities in a fast-paced environment
Manage and monitor general PPI department mailboxes
Assign appeals to appropriate team members based on established workflows and production needs
Maintain and update appeal trackers
Track the status of assigned appeals
Identify workflow delays or discrepancies in tracking systems
Collaborate with supervisors and team leads
Assist with preparing reports, summaries, or metrics
Support special projects, audits, and process improvements
Maintain confidentiality and compliance with organizational policies
Excellent written and verbal communication skills
Ability to work both independently and collaboratively in a team environment
High school diploma or equivalent required
Proficiency in Microsoft Office Suite (Excel, Outlook, Word)

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
401 K
ROTH 401 K
Paid time off

Company

CorVel Corporation

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CorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry.

Funding

Current Stage
Public Company
Total Funding
unknown
1991-07-05IPO

Leadership Team

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Jeff Gurtcheff
Chief Claims Officer
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Maxim Shishin
CIO
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Company data provided by crunchbase