Payment Integrity Analyst II
CorVelFort Worth, Texas, United States
Posted March 25, 2026
66941 - 101258 USD
Full Time
About the Company
CERIS, a division of CorVel Corporation, is a certified Great Place to Work Company that offers incremental value, experience, and a sincere dedication to its valued partners.
Job Description
The Payment Integrity Analyst II is responsible for accurately reviewing and completing pre- and post pay claim audits based on client, policy, industry standards and/or CMS guidelines. Utilizes clinical judgment to interpret and apply client policies along with CMS guidelines.
Requirements
- Reviews, analyzes, and completes internal audits and/or appeals in accordance with client policy, CMS guidelines and industry standards
- Utilizes applicable tools and resources to complete internal audits and/or appeals
- Timely completion of internal audits and/or appeals
- Attends clinical team meetings, company meetings, educational opportunities/trainings, and other meetings
- Previous experience in medical bill auditing, healthcare revenue cycle, or relevant experience
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
