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CorVel Healthcare Corporation
Liverpool, NY | Full Time
$53k-67k (estimate)
3 Days Ago
Provider Relations Specialist I
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$53k-67k (estimate)
Full Time 3 Days Ago
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CorVel Healthcare Corporation is Hiring a Provider Relations Specialist I Near Liverpool, NY

Job Description

Job Description

Assists providers via phone and email with basic to complex bill review questions and requests. Documents bill review errors for tracking and trending to improve team error rate. Acts as a positive and professional representative of our CorVel family; ensures compliance with company best practice standards; ensure consistent, timely delivery of our quality services.

This is a hybrid role reporting to our Syracuse, NY office.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Communicate clearly and professionally with callers and via email.
  • Maneuver in 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, carve-outs and special LOAs applied to medical bills
  • Requires regular and consistent attendance.
  • Ability to control phone calls to ensure timely resolution and lower provider hold times.
  • Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (“IIPP”).
  • Additional duties as required.

KNOWLEDGE & SKILLS:

  • Excellent oral and written communication skills
  • PC literate, including Microsoft Office (Word, Excel)
  • Strong customer service skills and experience
  • Strong organizational skills
  • Excellent interpersonal skills
  • Ability to work in a team environment
  • Ability to work independently

EDUCATION & EXPERIENCE:

  • High school diploma or equivalent
  • Customer service 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: $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.

Job Summary

JOB TYPE

Full Time

SALARY

$53k-67k (estimate)

POST DATE

06/24/2024

EXPIRATION DATE

07/10/2024

WEBSITE

www.corvel.com

HEADQUARTERS

Irvine, California

SIZE

3,000 - 7,500

CEO

Geoffrey Brennen

REVENUE

$200M - $500M

INDUSTRY

Business Services

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About CorVel Healthcare Corporation

Founded in 1987, CorVel provides comprehensive third party administration (TPA) programs to companies offering workers' compensation solutions. They are committed to reducing workers' compensation costs through proactive medical treatment plans and programs that allow injured workers to return to work as quickly as possible.

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The following is the career advancement route for Provider Relations Specialist I positions, which can be used as a reference in future career path planning. As a Provider Relations Specialist I, it can be promoted into senior positions as a Provider Relations Representative, Sr. that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Provider Relations Specialist I. You can explore the career advancement for a Provider Relations Specialist I below and select your interested title to get hiring information.

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