Network Relations & Credentialing Specialist

CorVel Corporation; Minneapolis, Northern (MN, KY); Hybrid; USD 55.000 - 75.000; Vollzeit

Zusammenfassung

CorVel Corporation is seeking a Network Relations professional to support the frontline of Network Development by delivering excellent customer service and ensuring provider data integrity. The role requires strong interpersonal skills and an aptitude for the medical provider market.

The position involves coordinating provider onboarding, credentialing oversight, and managing provider data updates across national networks, with responsibilities across state guidelines and internal processes.

Qualifikationen

• Associate’s degree or 2+ years of experience in a relevant role.
• Customer service education/training within insurance, managed care or related field.

Aufgaben

• Assist with implementing medical providers and communicate effectively.
• Verify provider signatures, contracts and documentation before processing.
• Review credentials per credentialing requirements and protocols.
• Provide orientation on managed care procedures and liaise with providers.
• Maintain provider data integrity and roster updates.
• Conduct and manage provider data audits for network integrity.

Kenntnisse

Interpersonal skills

Problem solving

Adaptability

Time management

MS Office

Written communication

Attention to detail

Data accuracy

Ausbildung

Associate’s degree or 2+ years of experience

Customer service education in insurance/ managed care

Tools

Microsoft Office Suite

Jobbeschreibung

CorVel Corporation is seeking a Network Relations professional to support the frontline of Network Development by delivering excellent customer service and ensuring provider data integrity. The role requires strong interpersonal skills and an aptitude for the medical provider market.

The position involves coordinating provider onboarding, credentialing oversight, and managing provider data updates across national networks, with responsibilities across state guidelines and internal processes.