Role Description The Denials Management Clerk supports the Denial Management Department in the denials process for client hospitals. In this role, the Denials Management Clerk gathers and disseminates information from hospitals, physicians, and insurance companies pertaining to referred claims denied. - Manually enter new cases referred from clients into database as needed - Update database with information gathered from correspondence - Set follow-up reminders in Outlook - Review daily reports for updates and due dates - Send updates on document requests received throughout the day - Send documentation to insurance carriers via portals, email, mail or fax - Work within gAIge to update daily tasks assigned on work queue - Log into all hospital applications and insurance carrier portals every two weeks - Submit appeals, correspondence, and medical records via carrier portals - Scan and label correspondence received daily via mail, email, or fax - Navigate hospital applications to obtain balances, charges, and UB documents - Download reports from portals for updates - Assist with the outgoing mail process - Scan documents into database - Assist patients with questions related to statuses of their accounts - Other duties as assigned - Use, protect, and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards - Understand and comply with Information Security and HIPAA policies and procedures at all times - Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties Qualifications - High School Diploma or equivalent - Must be courteous and possess a strong work ethic, with the ability to work in a fast-paced environment - Proficient in Microsoft Office applications - Have strong organization and time-management skills - Ability to learn proprietary databases and systems: gAIge, Epic, Eagle, Epremis, Medi-Tech - Strong interpersonal skills, ability to communicate well at all levels of the organization - Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses - High level of integrity and dependability with a strong sense of urgency and results oriented - Excellent written and verbal communication skills required Requirements - Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes Working Conditions - While performing the duties of this job, the employee is occasionally required to move around the work area; sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear - The employee must be able to follow directions, collaborate with others, and handle stress - The noise level in the work environment is usually minimal Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

• Solicits residential mortgages through contacts with Realtors, builders, and developers. • Develops referral relationships with Community Development Organizations and participates in Community Development activities. • Interviews loan applicants and makes credit decisions. • Work with assigned branch office to ensure awareness of home loan products. • Handle referrals from branch office and provide appropriate follow-up. • Develop referral contacts (realtors, builders, professional and personal contacts). • Analyze financial data to determine creditworthiness. • Maintain knowledge of available loan products, processing procedures and underwriting guidelines. • Take borrower applications. • Utilize communication and access of daily rates, credit reports and DU responses and transmitting to processor. • Collect appropriate documentation from each applicant and deliver loan package to processor in a timely manner. • Maintain high levels of customer service while managing each applicant's and support staff's expectations. • Attend and participate in all lending meetings as required. • Complete BSA/AML training and other compliance training as necessary. • The ability to work in a constant state of alertness and in a safe manner. • Attend Community Development meetings to build and strengthen relationships. • Represent bank at various civic, charitable, educational, and social affairs in order to develop and expand relationships. • Makes presentations on financial education to groups to attract new business. • Attend and participate in CRA Development meetings and trainings as required. • Perform any other related duties as required or assigned.

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 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: $21.10 - $31.56 per hour 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!).

• Provide assistance to K-12 students at risk of failing courses • Analyze data to identify at-risk students • Develop and implement intervention strategies • Collaborate with teachers and parents to support student success