Provider Relations Specialist I

Provider Relations Specialist I

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 position.

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 :

EDUCATION & EXPERIENCE :

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 : $16.50- $22.89 per hour

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.