Network Relations Specialist

1 week ago


Indianapolis, Indiana, United States CorVel Corporation Full time
Job Summary

We are seeking a highly skilled Network Relations Specialist to join our team at CorVel Corporation. This individual will be responsible for providing exceptional customer service while overseeing provider data integrity and impacting network development.

Key Responsibilities
  • Assist in implementing medical providers through correspondence and telephonic contact
  • Verify provider signatures, contracts, and documentation before submitting for internal processing
  • Review credentials of prospective providers to ensure compliance with national credentialing requirements and protocols
  • Provide orientation on managed care procedures and establish liaisons with participating providers
  • Assist in developing and maintaining provider manuals and orientation materials
  • Resolve disputes involving provider contracts and payment issues in accordance with contract Dispute Resolution Procedures
  • Provide assistance and support to staff requests for information regarding the network
  • Oversee the 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 to ensure data integrity for the network
  • Coordinate and process provider roster updates
  • Perform facility site surveys as needed
  • Identify anemic specialties within the network and generate a recruitment list
Requirements
  • Associate's degree or two or more years of equivalent work experience
  • Proficient in Microsoft applications
  • Customer service education/training within the insurance industry, managed care, or related field
Benefits

CorVel offers a comprehensive benefits package, including medical, 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.

About CorVel

CorVel is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health, and disability management industries. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities.



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