Setup Team Lead

Responsible for assisting and supporting their direct supervisor with ensuring their team meets protocol as well as performing supervisor duties if & when the supervisor is out. Also, responsible for ½ production.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• Must maintain ½ production quota
• Organize and distribute claims according to established priority
• Provide guidance to analysts, aiding with resolution of problems or questions
• Process complex/problematic claims according to protocol
• Maintain production standards and production requirements
• Comply with standard protocol for processing problem claims
• Function as liaison between analysts and clients
• Professionally communicate with other offices and internal departments
• Train new employees
• Requires punctual and consistent attendance, and commitment to work overtime as required
• Assist co-workers, supervisor and management in accomplishing production goals
• Maintain HIPAA compliance in all aspects of communications and performance of duties
• Other duties as assigned

KNOWLEDGE & SKILLS:

• Proficient in Microsoft applications
• Detail Oriented
• Ability to QC departmental work product and correct when applicable
• Exceptional organizational skills
• The ability to work independently, as well as with a team
• The ability to work in a fast paced/production environment
• Ability to investigate and obtain answers independently
• Ability to demonstrate leadership capabilities and independent thinking
• Effective and professional communication skills
• Demonstrated problem solving skills and analytical skill

EDUCATION & EXPERIENCE:

• High school diploma or equivalent
• Minimum 1 year as a Setup Analyst
• Data Entry experience

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.