Network Relations II

CorVel Career Site•Carmel, IN

11d•$19 - $30•Remote

About The Position

The Network Relations role supports the frontline of Network Development, responsible for providing excellent customer service while impacting and overseeing provider data integrity. This role must combine strong interpersonal skills with an aptitude in the medical provider market. This is a remote role.

Requirements

Strong interpersonal skills and adaptive communication style
Complex problem solving skills and innovation
Ability to quickly adapt to process changes
Ability to prioritize and manage assignments, scheduled or unscheduled
Ability to embrace new tools and procedures per corporate guidelines and objectives
Strong organizational skills
Excellent written and verbal communication skills
Superb attention to detail and ability to deliver results in a fast paced and dynamic environment
Proficient in Microsoft Office applications
Associate’s degree or two or more years of equivalent work experience
Customer service education/training within the insurance industry, managed care or related field

Responsibilities

Assist Developer with implementing medical providers, using written and verbal communication
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 with 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
Provide assistance and respond to staff requests for information regarding the network, both locally and nationally
Oversee distribution of executed contracts and maintenance of database
Assist with network marketing, employer and payor relations and product development
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 at least annually or as otherwise required
Perform facility site surveys as needed per credentialing requirements or state guidelines
Identify specialties within network and generate a recruitment list for Developer
Additional duties as assigned