CERIS logo
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!).

Policy & Payment Integrity Coordinator I

GeneralGeneralFull TimeRemoteMid LevelTeam 501-1,000

Location

United States

Posted

4 days ago

Salary

$21 - $32 / hour

Seniority

Mid Level

No structured requirement data.

Job Description

Policy & Payment Integrity Coordinator I

CERIS

Role Description The CERIS Policy & Payment Integrity Coordinator (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. This position requires strong organizational skills, attention to detail, and the ability to manage multiple priorities in a fast-paced environment. This is a remote position. Essential Functions & 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 - Additional duties as assigned Qualifications - Strong organizational and time management skills with the ability to prioritize tasks effectively - Excellent written and verbal communication skills - Strong attention to detail and accuracy - Ability to work both independently and collaboratively within a team environment - Proficiency in Microsoft Office applications (Excel, Outlook, Word) and ability to learn internal systems Requirements - High school diploma or equivalent required Benefits - 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 - 401 K - ROTH 401 K - Paid time off Company Description 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!).

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