Job type full-time remote
Benefits pulled from the full job description
401(k) disability insurance flexible spending account health insurance health savings account life insurance show 3 more benefits
Not provided by employer
Full job description
Corvel is hiring a remote, national network relations specialistThe network relations specialist is responsible for overseeing provider data integrity while providing excellent customer serviceThis individual must combine strong interpersonal skills with an aptitude in the medical provider market.
Essential functions and responsibilities:
Assist developer with implementing medical providers through use of correspondence and telephonic contact.
Verify all provider signatures, contracts and documentation before submitting for internal processing.
Review credentials of prospective providers to be considered for acceptance into network per national credentialing requirements and protocols.
Provide orientation on managed care procedures and establish liaison(s) with all participating providers.
Assist and communicate a provider orientation program in cooperation with developer.
Distribute and maintain provider manual and orientation materials per state guidelines.
Receive and resolve all disputes involving provider contract and payment issues in accordance with contract dispute resolution procedures.
Oversee distribution of executed contracts and maintenance of database.
Conduct and manage provider data audits that ensure data integrity for network and oversee all provider updates and changes with ndb.
Coordinate and process provider roster updates regularly and as appropriate.
Maintain a professional appearance.
Requires regular and consistent attendance.
Complies with all safety rules and regulations during working hours in conjunction with the injury and illness prevention program (“iipp”).
Additional projects and duties as assigned.
Knowledge & skills:
Excellent written and verbal communication skills.
Continually adapt daily routines that allow each function to be manageable.
Ability to identify, analyze and solve problems.
Computer proficiency and technical aptitude with the ability to utilize ms office including excel spreadsheets
Strong interpersonal, time management and organizational skills.
Ability to work both independently and within a team environment.
High school diploma or equivalent.
Customer service education/training within the insurance industry, managed care, or related field.
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 industriesCorvel was founded in 1987 and has been publically traded on the nasdaq stock exchange since 1991Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clientsWe are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunitiesOver 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.
Posted 30+ days ago
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