SantaAnaRecruiter Since 2001
the smart solution for Santa Ana jobs

Network Relations - Temp

Company: CorVel Corporation
Location: Santa Ana
Posted on: January 15, 2021

Job Description:

The CorVel office in Santa Ana, CA if seeking a full time Network Relations employee. Frontline of Network Development, responsible for providing excellent customer service while impacting and overseeing provider data integrity. This individual must combine strong interpersonal skills with an aptitude in the medical provider market. About CorVel CorVel 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 3500 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 employees and includes medical, dental, vision, 401K, and paid time off. ESSENTIAL FUNCTIONS--AND RESPONSIBILITIES:

  • Assist Developer with implementing medical providers through use of correspondence and telephonic contact.
  • 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 a 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 be responsive to staff requests for assistance, 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 anemic specialties within network and generate a recruitment list for Developer.
  • Requires regular and consistent attendance.
  • Maintain a professional appearance.--
  • Additional duties as assigned. KNOWLEDGE & SKILLS:
  • Strong interpersonal skills and adaptive communication style, complex problem solving skills, drive for results, innovative
  • Ability to continually adapt daily routines that allow each function to be manageable.
  • Ability to properly 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. EDUCATION/EXPERIENCE:
  • Associate's degree or two or more years equivalent work experience
  • Proficient in Microsoft applications
  • Customer service education/training within the insurance industry, managed care or related field

Keywords: CorVel Corporation, Santa Ana , Network Relations - Temp, Other , Santa Ana, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Other Jobs

Warehouse associate - Family Oriented Company
Description: This Warehouse Associate Position Features: br Family Oriented Company br Opportunity For Permanent Placement br Interesting How It's
Location: Yucaipa
Posted on: 01/28/2021

Seasonal Shipt Shopper
Description: Job DescriptionShipt is a membership-based marketplace that helps people get the things they need, like fresh produce and household essentials, from stores they trust. Help people save time and have fun (more...)
Company: Shipt
Location: Yucaipa
Posted on: 01/28/2021

Reset Team Lead
Description: Lead the way for Premium' Reset Team Members through motivation, inspiration and accountability. As Reset Team Lead, you and your team will bring our client's vision to life
Company: Premium Retail Services
Location: San Gabriel
Posted on: 01/28/2021

Relationship Banker I (Floater) West San Gabriel Valley
Description: GENERAL SUMMARY Travel to various branches Los Angeles, Northridge, Arcadia, Temple City, Monterey Park Cadiz, Monterey Park, Alhambra, Alhambra Valley Stoneman, San Gabriel and El Monte within the (more...)
Company: Cathay Bank
Location: San Gabriel
Posted on: 01/28/2021

Team Member
Description: Craft your career with Panera Bread apply online - www.mannacareers.comCome Join Panera Bread an award-winning leader in the restaurant industry.Our caf-- Team Members listen to our guest
Company: Panera Bread
Location: Santee
Posted on: 01/28/2021

Deliver Eats with Uber Eats
Description: Job DescriptionDeliver with Uber. Earn on your schedule. Deliver with Uber Eats on your schedule. Deliver for a few hours in the mornings, every night, or just on weekends--it's up to you. Earn Extra (more...)
Company: Uber Eats
Location: Placentia
Posted on: 01/28/2021

Shipping Manager
Description: This shipping manager position features and pays up to 70K for the right candidate: br br Easy access off freeway br Variety of duties br Company invested
Location: Rowland Heights
Posted on: 01/28/2021

Deliver with Uber on your schedule
Description: Deliver with Uber. Earn on your schedule. Work on your schedule. Deliver for a few hours in the mornings, every night, or just on weekends it's up to you. Earn Good Money. You'll earn by bringing people (more...)
Company: Uber Eats
Location: Santee
Posted on: 01/28/2021

Premier Banker 2 - Poway Town & Country - Poway, CA
Description: Job DescriptionImportant Note: During the application process, ensure your contact information email and phone number is up to date and upload your current resume when submitting your application for (more...)
Company: Wells Fargo
Location: Poway
Posted on: 01/28/2021

Flexible Winter Schedule - Deliver with Uber Eats
Description: Deliver with Uber. Earn on your schedule.Work on your schedule. Deliver for a few hours in the mornings, every night, or just on weekends-it's up to you.Earn Good Money. You'll earn by bringing people
Company: Uber Eats
Location: Santee
Posted on: 01/28/2021

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Santa Ana RSS job feeds