Medical Access Assistant Specialist I

CorVel; Rancho Cucamonga (CA); Remote; USD 100,000 - 125,000; Full time

Job summary

An established industry player is looking for a Medical Access Assistant to support injured workers and providers in navigating the medical provider network. This remote position involves a mix of inbound and outbound calls, ensuring excellent customer service and efficient appointment scheduling. The role requires strong communication and analytical skills, as well as the ability to multitask effectively. Join a supportive and growing company that values accountability and teamwork, and enjoy a comprehensive benefits package that supports your health and well-being.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401K

Paid Time Off

Flexible Spending Account

Health Savings Account

Long Term Disability Insurance

Life Insurance

Accident Insurance

Qualifications

• Strong ability to communicate complex ideas clearly.
• Experience in a call center is a plus.
• Knowledge of California Workers’ Comp regulations is beneficial.

Responsibilities

• Assist injured workers in locating providers and scheduling appointments.
• Provide excellent customer service and act as a liaison.
• Verify provider inclusion in the medical provider network.

Skills

Customer Service

Communication Skills

Time Management

Analytical Skills

Computer Proficiency

Education

Knowledge of California Workers’ Comp regulations

Call center experience

Tools

MS Office

Job description

CorVel is seeking a Medical Access Assistant (Provider Relations Specialist).

The Provider Relations Specialist assists 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.

This is a remote position.

ESSENTIAL FUNCTIONS & 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 & 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 & EXPERIENCE:

• Knowledge of California Workers’ Comp regulations, not required
• Call center experience a plus but not required

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: $16.50 - $22.89 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

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.

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Equal Opportunity Employer
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