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CorVel Corporation · 1 day ago

Network Relations I

Franklin, TN

Full-time

Onsite

Entry Level

$16.36/hr - $26.31/hr

2+ years exp

CorVel Corporation is a national provider of industry-leading risk management solutions. The Network Relations I role focuses on supporting network development by ensuring provider data integrity and providing excellent customer service in the healthcare industry.

InsuranceSoftware

H1B Sponsor Likely

Responsibilities

Assist Developer with implementing medical providers, using written and verbal communication

Verify all provider signatures, contracts and documentation before submitting for internal processing

Review credentials of prospective providers to be considered for acceptance into network per national credentialing requirements and protocols

Provide orientation on managed care procedures and establish liaison(s) with all participating providers

Assist and communicate with provider orientation program in cooperation with Developer

Distribute and maintain provider manual and orientation materials per state guidelines

Receive and resolve all disputes involving provider contract and payment issues in accordance with contract Dispute Resolution Procedures

Provide assistance and respond to staff requests for information regarding the network, both locally and nationally

Oversee distribution of executed contracts and maintenance of database

Assist with network marketing, employer and payor relations and product development

Conduct and manage provider data audits that ensure data integrity for network and oversee all provider updates and changes with NDB

Coordinate and process provider roster updates at least annually or as otherwise required

Perform facility site surveys as needed per credentialing requirements or state guidelines

Identify specialties within network and generate a recruitment list for Developer

Additional duties as assigned

Qualification

Customer serviceProvider data integrityMicrosoft OfficeProblem solvingInterpersonal skillsOrganizational skillsCommunication skillsAttention to detail

Required

Strong interpersonal skills and adaptive communication style

Complex problem solving skills and innovation

Ability to quickly adapt to process changes

Ability to prioritize and manage assignments, scheduled or unscheduled

Ability to embrace new tools and procedures per corporate guidelines and objectives

Strong organizational skills

Excellent written and verbal communication skills

Superb attention to detail and ability to deliver results in a fast paced and dynamic environment

Proficient in Microsoft Office applications

Associate's degree or two or more years of equivalent work experience

Customer service education/training within the insurance industry, managed care or related field

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

Glassdoor3.0

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

Founded in 1987

Irvine, California, USA

1001-5000 employees

https://www.corvel.com/

H1B Sponsorship

CorVel Corporation has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (2)

2022 (5)

2021 (2)

2020 (1)