Respond to client, provider, and internal office inquiries by phone, email, fax, and written correspondence while following contractual requirements, state guidelines, and client instructions. Review provider histories, consult with supervisors or other departments, discuss findings with providers, and maintain reports and spreadsheets.
Requirements overview
A high school diploma or equivalent and customer service experience in managed care and benefit administration are required. Candidates should have knowledge of workers’ compensation fee schedules and regulations, medical terminology and coding, strong communication and organizational skills, attention to detail, Microsoft application proficiency, and internet speeds of at least 80 Mbps for uploads and downloads.
CorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry. Our mission is to take care of people and business with risk management solutions that deliver better outcomes for our partners. We are publicly traded (NASDAQ:CRVL), and annual revenues exceed $959 million. Our continuous investments in technology, infrastructure, and human capital allow us to offer local customer service backed by national resources.
Customer Service & SupportHealthcareAdministrative
Description
The Customer Service Representative is responsible for addressing client and/or
provider inquiries via email, fax, telephonic, or written correspondence
ensuring adherence to contractual and state guidelines as well as client
instructions.
This role requires internet upload and download speeds of at least 80Mbps.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
* Answer phone calls, return phone calls
* Answer emails from clients, providers and internal referring offices
* Review previous history of the provider in MedCheck, Scheck and SalesCloud
* Consult with Supervisor or other departments to clarify answers to inquiries
* Contact provider to discuss findings at the appropriate level
* Maintain reports and spreadsheets as needed
* Additional duties as assigned
KNOWLEDGE & SKILLS:
* Knowledge of Workers Compensation fee schedules and regulations
* Effective verbal and written communication skills
* Good organizational skills and ability to multitask
* Detail oriented
* Proficiency with Microsoft applications
* Medical terminology and coding knowledge
EDUCATION & EXPERIENCE:
* High school diploma or equivalent
* Customer service experience working in the Managed Care and Benefit
Administration industries
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: $13.94 - $21.48 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel
Careers | Opportunities in Risk Management
[https://www.corvel.com/company/careers/]
In general, our opportunities will be posted for up to 1 year from date of
posting, or until we have selected candidate(s) to fulfill the opening,
whichever comes first.
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.
#LI-Remote