Provider Relations Specialist I jobs in United States
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CorVel Corporation · 4 months ago

Provider Relations Specialist I

CorVel Corporation is a national provider of industry-leading risk management solutions. They are seeking a Provider Relations Specialist I to assist providers with bill review questions, document errors, and ensure compliance with company standards while delivering quality services.

InsuranceSoftware

Responsibilities

Communicate clearly and professionally with callers and via email
Maneuver in the bill review application to obtain accurate information for the callers
Understand CorVel EORs as well as client-specific nuances
Answer basic to complex State WC fee schedule and/or billing questions on processed medical bills covering regular as well as facility bill types
Understand and be able to properly explain provider contracted rates, carve-outs and special LOAs applied to medical bills
Requires regular and consistent attendance
Ability to control phone calls to ensure timely resolution and lower provider hold times
Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (“IIPP”)
Additional duties as required

Qualification

Fee schedule knowledgeCustomer service experienceMicrosoft OfficeCommunication skillsIndependenceOrganizational skillsInterpersonal skillsTeamwork

Required

High school diploma or equivalent
Excellent oral and written communication skills
PC literate, including Microsoft Office (Word, Excel)
Strong knowledge of fee schedule and network contracts
Strong customer service skills and experience
Strong organizational skills
Excellent interpersonal skills
Ability to work in a team environment
Ability to work independently
Requires regular and consistent attendance
Ability to control phone calls to ensure timely resolution and lower provider hold times
Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)

Preferred

Customer service experience working in the Managed Care and Benefit Administration industries

Benefits

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
Paid time off

Company

CorVel Corporation

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CorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry.

Funding

Current Stage
Public Company
Total Funding
unknown
1991-07-05IPO

Leadership Team

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Jeff Gurtcheff
Chief Claims Officer
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Maxim Shishin
CIO
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Company data provided by crunchbase