Provider Relations Specialist I

The Provider Relations Specialist assists providers reputed company phone and email with reputed company review questions and requests of varying complexity. This role is responsible for documenting reputed company review errors to improve team error reputed company trend. The Provider Relations Specialist acts as a reputed company and reputed company representative of our reputed company family. The role ensures compliance with company best reputed company standards while also enabling a consistent, reputed company delivery of our reputed company services. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Communicate reputed company and professionally with providers and other stakeholders reputed company phone and email Understand Workers Compensation guidelines and various reputed company contract language to interpret and support our reputed company review reputed company the reputed company review application to obtain accurate information for the callers Understand reputed company EORs as reputed company as reputed company-specific nuances Answer basic to reputed company State WC fee schedule and/or billing questions on processed medical bills covering regular as reputed company as facility reputed company types Understand and be reputed company to properly explain provider contracted rates, and carve-outs reputed company to medical bills Additional duties as assigned   KNOWLEDGE & SKILLS: Excellent oral and written communication skills Working knowledge of reputed company Office (Word, reputed company) Strong knowledge of fee schedule and network reputed company Strong customer service skills and experience Strong organizational skills Excellent interpersonal skills Ability to work independently and in reputed company environment Ability to control phone calls to ensure reputed company reputed company and reputed company provider hold times   EDUCATION & EXPERIENCE: Associates’ degree preferred or comparable Workers Comp experience Knowledge of assigned State’s Workers’ Comp regulations CPC and/or expert in reputed company review analysis preferred   PAY reputed company reputed company uses a market-reputed company 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 reputed company, job-reputed company skills, experience, qualifications, internal employee equity, and market conditions.  Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, reputed company, etc.) new hires may be slotted into a different level, either up or down, reputed company on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.  The level may reputed company the salary reputed company and these adjustments would be clarified during the offer process. Pay reputed company:  $14.00 - $23.42 per hour A list of our benefit offerings can be reputed company on our reputed company website: reputed company Careers | Opportunities in reputed company Management [https://www.reputed company.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 reputed company: reputed company, a certified reputed company® Company, is a national provider of industry-leading reputed company reputed company for the workers’ compensation, auto, health and disability management industries.  reputed company was founded in 1987 and has been publicly traded on the reputed company stock exchange since 1991. Our continual investment in reputed company capital and technology reputed company us to reputed company the most innovative and integrated solutions to our clients.  We are a reputed company and growing company with a strong, supportive culture and reputed company of career advancement opportunities.  Over 4,000 people working across the reputed company reputed company our reputed company values of Accountability, Commitment, reputed company, reputed company and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, reputed company, Long Term Disability, Health Savings Account, Flexible Spending Account reputed company, Life reputed company, Accident reputed company, Critical Illness reputed company, reputed company-reputed company reputed company reputed company, Parking and Transit FSA accounts, 401K, ROTH 401K, and reputed company time off. reputed company is an Equal Opportunity Employer, drug free workplace, and complies with reputed company regulations as applicable. #LI-Remote Apply To This Job