The Provider Relations Specialist assists providers via phone and email with
bill review questions and requests of varying complexity. This role is
responsible for documenting bill review errors to improve team error rate trend.
The Provider Relations Specialist acts as a positive and professional
representative of our CorVel family. The role ensures compliance with company
best practice standards while also enabling a consistent, timely delivery of our
quality services.
This is a remote role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Communicate clearly and professionally with providers and other stakeholders
via phone and email
Understand Workers Compensation guidelines and various client contract
language to interpret and support our bill review
Navigate 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
Additional duties as assigned
KNOWLEDGE & SKILLS:
Excellent oral and written communication skills
Working knowledge of 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 independently and in a team environment
Ability to control phone calls to ensure timely resolution and lower provider
hold times
EDUCATION & EXPERIENCE:
Associates’ degree preferred or comparable Workers Comp experience
Knowledge of assigned State’s Workers’ Comp regulations
CPC and/or expert in bill review analysis 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: $14.00 - $23.42 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel
Careers | Opportunities in Risk Management
[https://www.corvel.com/company/careers/]
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.
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