Provider Relations Specialist I
3 months ago
Assists providers via phone and email with basic to complex bill review questions and requests. Documents bill review errors for tracking and trending to improve team error rate. Acts as a positive and professional representative of our CorVel family; ensures compliance with company best practice standards; ensure consistent, timely delivery of our quality services.
This is a hybrid role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Communicate clearly and professionally with callers and via email. Understand Workers Compensation guidelines and various client contract language to interpret and support our bill review. 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, and carve-outs 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.KNOWLEDGE & SKILLS:
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 independentlyEDUCATION & EXPERIENCE:
Associates’ degree preferred or comparable Workers Comp experience, typically level 2+ Orange bill review skill set knowledge Knowledge of assigned State’s Workers’ Comp regulations CPC and/or expert in bill review analysis preferredPAY 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: $16.00 - $22.36 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL:
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT).
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, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Hybrid
-
Warehouse Specialist I
2 days ago
Irvine, United States SBM Management Services Full timeWarehouse Specialist I Operations Frontline Jobs Tustin, California Costa Mesa, California Irvine, California Santa Ana, California Westminster, California Description Position at SBM Management SBM Management is looking for a Warehouse Specialist I! The Warehouse Specialist will be responsible for safely receiving, storing, shipping, and issuing...
-
Procurement Specialist I
2 weeks ago
Irvine, United States LHH Recruitment Solutions Full timeJob DescriptionJob DescriptionLHH Recruitment Solutions is seeking a HYBRID Procurement Specialist I for a 6-9 month contract position that could extend in Irvine, CA. This is for a healthcare company with an excellent reputation.Responsibilities:Answer questions via phone, e-mail, or ServiceNow (CRM) platform; while staying in accordance with established...
-
Procurement Specialist I CA
2 weeks ago
irvine, United States TalentBurst Full timeJob Title: Procurement Specialist I Duration: 6 month assignment with potential for a 2-3 month extension after that. Location: Irvine, CA (Hybrid (working from office 3 days a week) JOB SUMMARY This position is responsible for providing customer service and support to Client teammates who manage the procurement of products and/or services used in dialysis...
-
Procurement Specialist I CA
2 weeks ago
Irvine, United States Talentburst Full timeJob Title: Procurement Specialist IIn order to make an application, simply read through the following job description and make sure to attach relevant documents. Duration: 6 month assignment with potential for a 2-3 month extension after that. Location: Irvine, CA (Hybrid (working from office 3 days a week) JOB SUMMARY This position is responsible for...
-
Service Quality Specialist
4 weeks ago
Irvine, California, United States Kia America Full timeJob Title: Service Quality SpecialistJob Summary: We are seeking a highly skilled Service Quality Specialist to join our team at Kia America. The successful candidate will play a key role in ensuring the highest level of quality in our products, working closely with various engineering groups in North America and Korea.Main Responsibilities:Platform...
-
Guest Experience Specialist
1 month ago
Irvine, United States Marriott International Inc Full timeAdditional InformationPay: $23.55/hour Job Number24177101 Job CategoryRooms & Guest Services Operations LocationResidence Inn Irvine Spectrum, 10 Morgan Street, Irvine, California, United States, 92618VIEW ON MAP ScheduleFull Time Located Remotely?N Position Type Non-Management POSITION SUMMARY Our jobs arent just about giving guests a smooth check-in and...
-
Customer Service Specialist I
2 months ago
Irvine, United States Irvine Ranch Water District Full timeThe District. Irvine Ranch Water District (IRWD) is a progressive, values-driven agency, with an international reputation for its leading-edge financial management practices, water recycling program, water use efficiency practices, water banking, urb Customer Service Specialist, Customer Service, Specialist, Retail, Water
-
Senior Investor Relations Specialist
1 week ago
Irvine, California, United States Superior Home Buyers Full timeAbout the Role:Superior Home Buyers seeks a charismatic Sales Account Manager to spearhead our real estate investment endeavors. In this pivotal position, you will engage with high-stakes investors, drive innovative results, and forge lasting relationships.Key Responsibilities:Develop and execute targeted plans to connect with influential investors in the...
-
Clinical Nurse I
1 month ago
Irvine, California, United States Hoag Memorial Hospital Presbyterian Full timeJob Summary:The Clinical Nurse I - Emergency role at Hoag Memorial Hospital Presbyterian provides direct patient care in accordance with the Nurse Practice Act to patients in the Emergency department. The nurse collaborates with other disciplines of the health care team to ensure the delivery of safe, timely and appropriate quality patient care.Key...
-
Employee Relations Partner
1 month ago
Irvine, United States Nihon Kohden Full timeThe Employee Relations Partner is responsible for fostering a positive and productive work environment by providing strategic guidance, support, training, and resolution on employee relations matters. This role serves as a trusted advisor to managers and employees, addressing concerns, ensuring fair treatment, and promoting compliance and understanding of...
-
Employee Relations Partner
1 week ago
Irvine, California, United States Nihon Kohden Full timeThe Employee Relations Partner at Nihon Kohden America serves as a trusted advisor to managers and employees, addressing concerns, ensuring fair treatment, and promoting compliance and understanding of company policies and employment laws.Key Responsibilities:Provide day-to-day performance guidance to management, including coaching, counseling, and...
-
Employee Relations Partner
4 weeks ago
Irvine, United States Nihon Kohden America Full timeThe Employee Relations Partner is responsible for fostering a positive and productive work environment by providing strategic guidance, support, training, and resolution on employee relations matters. This role serves as a trusted advisor to managers and employees, addressing concerns, ensuring fair treatment, and promoting compliance and understanding of...
-
Employee Relations Partner
3 weeks ago
Irvine, United States Nihon Kohden America Full timeThe Employee Relations Partner is responsible for fostering a positive and productive work environment by providing strategic guidance, support, training, and resolution on employee relations matters. This role serves as a trusted advisor to managers and employees, addressing concerns, ensuring fair treatment, and promoting compliance and understanding of...
-
Cook I
6 months ago
Irvine, United States Contract Services Group, Inc Full timeCook I - Cocinero IA Cook is responsible for preparing all food items based on standardized recipes for the Restaurant/Dining Outlet Cafe Room Service Employee Cafeteria and Banquets while maintaining the highest standards to produce an appealing and appetizing product. He/she is also responsible for ensuring the cleanliness sanitation and safety in the...
-
Automotive Sales
4 weeks ago
Irvine, United States Auto Careers Online Full timeJob Title: Automotive Sales & Finance Trainer Location: Newport Beach, CA Company Overview: We are a dynamic and innovative automotive training firm dedicated to enhancing the sales and finance skills of automotive professionals. With a focus on empowering individuals and driving performance excellence, we are committed to delivering cutting-edge training...
-
Senior Quality Assurance Specialist
7 days ago
Irvine, United States Actalent Full timeJob Title: Quality Assurance Specialist Job Description Process GMP documentation through the electronic document management system ensuring version control, traceable editing, and adequate formatting. Route documents for review and approval, ensuring that approved templates/formats are maintained and consistent across departments. Categorize, scan,...
-
Fire Safety Specialist
1 month ago
Irvine, California, United States University Of California Irvine Full timeJob Title: Fire Prevention SpecialistAt the University of California, Irvine, we are seeking a highly skilled Fire Prevention Specialist to join our team. As a key member of our Environmental Health and Safety (EH&S) department, you will play a critical role in ensuring the safety and well-being of our campus community.Job Summary:The Fire Prevention...
-
Community Relations Representative
4 weeks ago
Irvine, United States Eastridge Workforce Solutions Full timeEastridge Workforce Solutions is a leading provider of workforce management solutions, committed to connecting skilled professionals with meaningful career opportunities. We are actively seeking a Community Relations Representative to join our client in support of a resort-style apartment community in Orange County, CA. This is an exciting opportunity to...
-
Senior Regulatory Affairs Specialist
3 weeks ago
Irvine, United States NeuroVasc Technologies, Inc. Full timeWe are NeuroVasc Technologies! We deliver excellence through innovation with integrity.This On-site role reports directly to the CEO. The Senior Regulatory Specialist is responsible to plan, direct and coordinate global product registrations and lead regulatory submissions planning and execution; collaborate with Product Regulatory and Regional Regulatory...
-
Senior Regulatory Affairs Specialist
1 month ago
Irvine, United States NeuroVasc Technologies, Inc. Full timeWe are NeuroVasc Technologies! We deliver excellence through innovation with integrity.This On-site role reports directly to the CEO. The Senior Regulatory Specialist is responsible to plan, direct and coordinate global product registrations and lead regulatory submissions planning and execution; collaborate with Product Regulatory and Regional Regulatory...