Network Relations I

CorVel Career Site•Charlotte, NC

1d•Remote

About The Position

The Network Relations I role supports the frontline of Network Development, providing customer service while helping oversee provider data integrity. The role combines interpersonal skills with knowledge of the medical provider market. It is remote; candidates are preferably located in the greater Charlotte, North Carolina region and must be able to attend at least one week of in-office training at the start of employment. The position supports provider implementation, contract and credential documentation review, provider orientation, contract and payment dispute resolution, network information requests, executed contract distribution, database maintenance, network marketing and relations, provider data audits and updates, roster processing, facility site surveys, and specialty identification for provider recruitment. CorVel describes itself as a national provider of risk management solutions for workers’ compensation, auto, health, and disability management industries. The company reports having over 4,000 employees across the United States. Its full-time regular employees are offered a comprehensive benefits package. The pay range for this role is $16.74–$26.92 per hour; rates may vary based on location and other factors.

Requirements

Associate’s degree or two or more years of equivalent work experience.
Customer service education or training within the insurance industry, managed care, or a related field.
Strong interpersonal skills and an adaptive communication style.
Complex problem-solving skills and innovation.
Ability to adapt quickly to process changes.
Ability to prioritize and manage scheduled or unscheduled assignments.
Ability to embrace new tools and procedures according to corporate guidelines and objectives.
Strong organizational skills.
Excellent written and verbal communication skills.
Attention to detail and ability to deliver results in a fast-paced, dynamic environment.
Proficiency in Microsoft Office applications.
Ability to attend at least one week of in-office training at the start of employment.

Nice To Haves

Preferably located in the greater Charlotte, North Carolina region.

Responsibilities

Assist the Developer with implementing medical providers through written and verbal communication.
Verify provider signatures, contracts, and documentation before submitting them for internal processing.
Review prospective providers’ credentials for acceptance into the network according to national credentialing requirements and protocols.
Orient providers to managed care procedures and establish liaisons with participating providers.
Assist with and communicate about the provider orientation program in cooperation with the Developer.
Distribute and maintain provider manuals and orientation materials according to state guidelines.
Receive and resolve disputes involving provider contract and payment issues according to contract Dispute Resolution Procedures.
Provide staff with information about the network, locally and nationally.
Oversee distribution of executed contracts and maintain the database.
Assist with network marketing, employer and payor relations, and product development.
Conduct and manage provider data audits to ensure network data integrity, and oversee provider updates and changes with NDB.
Coordinate and process provider roster updates at least annually or as otherwise required.
Perform facility site surveys as needed according to credentialing requirements or state guidelines.
Identify network specialties and generate a recruitment list for the Developer.
Perform additional duties as assigned.