Medical Access Assistant Job Vacancy in Corvel Corporation Rancho Cucamonga, CA 91730 – Latest Jobs in Rancho Cucamonga, CA 91730 – updated today
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Company Name : Corvel Corporation
Location : Rancho Cucamonga, CA 91730
Position : Medical Access Assistant
Job Description : CorVel is seeking a Medical Access Assistant (Provider Relations Specialist). This role will be remote/working from home. The Provider Relations Specialist assist 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.
Essential Functions and 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
Knowledge and Skills :
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.
Education and Experience :
Knowledge of California Workers’ Comp regulations, not required
Call center experience a plus but not required
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 publically 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.
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