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Provider Relations Specialist I

3 months ago

Franklin, United States CorVel Healthcare Corporation Full time
Job DescriptionJob Description

Responsible for addressing client and/or provider inquiries via email, fax, telephonic, or written
correspondence ensuring adherence to contractual and state guidelines as well as client instructions.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

  • Answer phone calls, return phone calls.
  • Answer emails from clients, providers and internal referring offices.
  • Review previous history of the provider in proprietary software.
  • Consult with Supervisor or other departments to clarify answers to inquiries.
  • Contact provider to discuss findings at the appropriate level.
  • Maintain reports and spreadsheets as needed.
  • Requires punctual and consistent attendance
  • Responsible for processing mail and scanning medical bills
  • Assist with creating and maintaining provider panels and spreadsheets
  • Additional duties as assigned.

KNOWLEDGE & SKILLS:

  • Knowledge of Workers Compensation fee schedules and regulations
  • Effective oral, and written and communication skills
  • Good organizational skills and ability to multitask
  • Detail Oriented
  • Proficiency with Microsoft applications.
  • Medical terminology and coding knowledge

EDUCATION/EXPERIENCE:

  • High school diploma or equivalent
  • Customer service experience working in the Managed Care and Benefit Administration
    industries a plus

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: $12.77 - $22.36 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 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.

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