Procurement Analyst I

The Procurement Analyst plays a critical role in supporting Enhanced Bill Review Programs by securing essential medical documentation, including itemizations and medical records needed to process claims accurately and efficiently. This position involves proactive outreach to providers, managing inbound inquiries, and ensuring all documentation meets quality and compliance standards, including HIPAA regulations. The Procurement Analyst is detail-oriented, organized, and thrives in a fast-paced environment where meeting production goals and collaborating with team members are key to success.

This is an onsite position.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• Spend approximately 80-85% of the shift making outbound calls to providers to obtain required information; may also send email or fax requests
• Respond to inbound calls regarding claim status and related inquiries
• Maintain accurate records of all communications between the company, providers, and referring clients
• Verify that all documentation received is complete and accurate in accordance with established Quality Assurance protocols
• Escalate issues or concerns to the appropriate Lead, Supervisor, or Manager as needed
• Ensure HIPAA compliance in all communications and documentation
• Consistently meet production standards and quality benchmarks
• Collaborate with team members and management to achieve departmental goals; proactively identify and report potential issues
• Assist with training and onboarding of new employees as required
• Additional duties as assigned

KNOWLEDGE & SKILLS:

• Excellent verbal and written communication skills with a focus on phone etiquette
• Proficient in Microsoft Office applications
• Attention to detail
• Exceptional organizational skills
• Ability to work independently and within a team environment
• Ability to work in a fast-paced production environment

EDUCATION & EXPERIENCE:

• High school diploma or equivalent
• 6 months to 1 year of office experience
• Outbound call center experience preferred
• Data Entry experience preferred

PAY RANGE:

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: $13.38 - $20.36 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

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.

#LI-Onsite