Medical Access Assistant Specialist I

CorVel Career Site • Rancho Cucamonga, CA

10d • $17 - $23 • Remote

About The Position

CorVel is seeking a Medical Access Assistant (Provider Relations Specialist). The Provider Relations Specialist assists injured workers, claims examiners, attorneys, providers, etc. in locating providers within the medical provider network (MPN), verifying provider inclusion in an MPN and scheduling appointments upon request for the injured worker. This position includes a moderate volume of inbound calls and a high volume of outbound calls. This is a remote position.

Requirements

• Ability to write and speak clearly, easily communicating complex ideas across multiple platforms
• Ability to maintain composure in stressful situations and communicate diplomatically via telephone, fax, email or face to face interactions
• Ability to work independently and prioritize tasks
• Computer proficiency with the ability to utilize MS Office and other programs
• Effective quantitative, analytical and interpretive skills
• Strong interpersonal, time management and analytical skills.
• Medical background and/or workers' compensation experience

Nice To Haves

• Call center experience a plus but not required

Responsibilities

• Receive incoming calls, emails and faxes from the Medical Access Assistant line
• Provide excellent customer service and act as network liaison to injured workers, claims examiners and providers
• Triage requests and ensure they are completed within required timeframes
• Locate providers of a particular specialty within a designated area as requested by the caller
• Verify providers are within a specified network and/or have a contract with CorVel
• Schedule appointments for injured workers upon request
• Follow all guidelines set by the California Code of Regulations
• Assist callers in navigating our website directory
• Call providers to verify demographic information (address, phone number, WC acceptance, etc)
• Answer questions from callers regarding their MPN; transferring the caller to the appropriate department if we are unable to assist
• Work with the Network Relations team to correct any discrepancies in the database
• Communicate to the contract developers if there is a need for certain specialties in a geographic area
• Multitask, utilize multiple programs and resources
• Various additional duties as assigned

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed