MCO Customer Services Representative

4 weeks ago

New York, New York, United States CorVel Corporation Full time

CorVel is hiring a MCO Customer Service Representative. This role is responsible for responding to inquiries (written and telephonic) concerning treatment authorizations, bill payments and other services provided under the Workers Compensation State Funded program.

This is a remote role reporting to the Central Islip, NY office.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Answer phone calls, return phone calls
  • Knowledge of state-wide Workers Compensation policies pertaining to MCO administration
  • Maintain documentation for Sales Force on visits, prospective visits, follow up and next steps
  • Consult with supervisor or other department teams to clarify answers to inquiries
  • Attend continuous trainings, coaching, and networking; attending meetings, conferences etc.
  • Contact provider to discuss findings at the appropriate level
  • Requires punctual and consistent attendance
  • Additional duties as assigned

KNOWLEDGE & SKILLS:

  • Workers Compensation knowledge
  • Effective oral, written and interpersonal communication skills
  • Good organization, time management skills, and ability to multitask
  • Detail oriented
  • Proficiency with Microsoft Office applications
  • Medical terminology and coding knowledge

EDUCATION & EXPERIENCE:

  • High school diploma or equivalent required
  • Customer service experience required
  • Experience working in the Managed Care and Benefit Administration industries preferred

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: $ $21.81 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

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 publically 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.

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