amanda kline

* Was promoted from receptionist after two months * Work with local, international and national stores to get our products in there stores * Help create t-shirt designs and packages for our upcoming releases * Work with our bands to help them pick singles, set up instore performances and promotional material for them to distribute * Put together updates for our distributors like Red about upcoming album releases and tours

* Looked at Medicare cases and composed letters to address appeals * Spoke with Case Managers for calcifications and determinations * Data entry

* Entered demographic and clinical data into a clinical database. * Assisted in care research for Case Managers. * Made client calls for clarification on case, patient information and determinations. * Understood and followed the HIPPA laws.

* Receive member’s pre-service requests on the toll free phone number, determine needs, get demographic information and direct the caller to the proper area of responsibility. * Assist members and their families with basic healthcare questions and help them to understand and utilize their health insurance benefits coverage. This request can come from the member or from another member of the Health Advocate staff * Handle routine to complex issues with regular supervision such as answering member questions, dealing with irate members and assisting other departments with their member cases. * Understand and follow the HIPPA laws * Regular contact with members, physician office receptionist and insurance carrier customer service representatives.

* Execute Contracts- answer questions, negotiate contract language, obtain all required signatures. * Obtain state required credentialing materials. * Create processes and work flows * Provide continuing education to internal team and external clients

* Initiate provider enrollment and re-credentialing for all physicians and other clinicians to provider enrollment vendor. * Based on information from provider enrollment vendor, develops, maintains and monitors credentialing database with applicable effective dates, to ensure an active status among contracted payers. * Ensure licenses and certifications are accurate and active among all markets * Develop accessible files for credentialing and licensing by providers and centers, including monthly written updates in status. * Ensure that all processing and reporting deadlines are consistently achieved. * Serves as liaison to billing department to ensure that managed care contracts are paying according to negotiated terms through regular reports. * Resolves credentialing and payer issues as necessary

Together, let's do more.CorVel is a leader of risk and healthcare management solutions to employers, third party administrators, insurance companies and government agencies. We are publicly traded (NASDAQ:CRVL) and annual revenues exceeded $493 million in FY2015. Our continued customer growth is a testament to our financial stability and our significant investments in new systems and technologies allows us to continue to deliver industry-leading solutions to the marketplace. CorVel has approximately 3,500 associates who serve more than 2,000 customers through a national branch office network covering all 50 states.