[Remote] CERIS Repricing Quality Assurance Analyst I

Note: The job is a remote job and is open to candidates in USA. CERIS, a division of CorVel Corporation, is dedicated to accuracy and transparency in healthcare payments. They are seeking a Repricing Quality Assurance Analyst I to review and analyze repricing audit data, ensuring compliance and operational effectiveness while collaborating with internal teams to enhance client satisfaction.ResponsibilitiesIdentify and resolve quality issues within repricing processesDevelop and implement QA policies and proceduresMonitor compliance with pricing guidelines and contractual requirementsInvestigate repricing discrepancies and apply corrective actionsPrepare QA reports and documentationCollaborate with stakeholders to align quality objectivesProvide training and guidance on repricing standardsConduct risk assessments to mitigate potential errorsMaintain confidentiality of client data, PHI, and PIIAdditional duties as assignedSkills5+ years in medical/insurance repricing, claims processing, or auditing3+ years in quality assurance or equivalent combination of education and experienceHigh School Diploma or higher requiredRepricing or network contracting experience preferredAssociate's or Bachelor's degree preferredBenefitsMedical (HDHP) w/PharmacyDentalVisionLong Term DisabilityHealth Savings AccountFlexible Spending Account OptionsLife InsuranceAccident InsuranceCritical Illness InsurancePre-paid Legal InsuranceParking and Transit FSA accounts401KROTH 401KPaid time offCompany OverviewCERiS is a company that detects and resolves payment issues for health claims. It was founded in 1990, and is headquartered in Fort Worth, Texas, USA, with a workforce of 501-1000 employees. Its website is https://www.ceris.com/.Company H1B SponsorshipCERIS has a track record of offering H1B sponsorships, with 2 in 2023, 5 in 2022, 2 in 2021, 1 in 2020. Please note that this does not guarantee sponsorship for this specific role.