• Interact with Plan Members and their chosen dental and paramedical healthcare providers via phone, email, and online chat • Create engaging and efficient customer experiences • Discuss the details of benefits plan coverage and the status of claim submissions

• Process and submit dental, orthodontic, and oral surgery insurance claims accurately and on time. • Ensure claims are complete, compliant, and submitted correctly to maximize reimbursement. • Review unpaid, denied, or rejected claims and take appropriate corrective action. • Prepare and submit appeals for denied claims. • Monitor claim status and follow up with insurance companies until resolution. • Maintain accurate billing documentation and patient financial records. • Work with Denti-Cal (California Medicaid) and commercial dental insurance plans. • Verify dental insurance eligibility and benefits prior to treatment. • Confirm patient coverage, deductibles, copays, and treatment limitations. • Obtain benefit information and communicate coverage details when necessary. • Follow up with insurance carriers regarding pending claims and authorizations. • Maintain detailed documentation of insurance communications and claim updates. • Answer overflow inbound calls professionally. • Assist new patients with scheduling appointments and responding to general inquiries. • Route calls appropriately and provide excellent customer service. • Support front desk operations during high patient volume. • Maintain HIPAA compliance while handling patient information. • Assist with billing questions and account inquiries. • Support administrative functions across two dental office locations. • Maintain organized patient records and billing documentation. • Collaborate with in-office staff to ensure efficient daily operations. • Participate in cross-training to support multiple office workflows.

Role Description The Customer Service Representative is responsible for addressing client and/or provider inquiries via email, fax, telephonic, or written correspondence ensuring adherence to contractual and state guidelines as well as client instructions. This role requires candidates to live in Dallas, TX with internet upload and download speeds of at least 80Mbps. Essential Functions & Responsibilities: - Answer phone calls, return phone calls - Answer emails from clients, providers and internal referring offices - Review previous history of the provider in MedCheck, Scheck and SalesCloud - Consult with Supervisor or other departments to clarify answers to inquiries - Contact provider to discuss findings at the appropriate level - Maintain reports and spreadsheets as needed - Additional duties as assigned Qualifications - Knowledge of Workers Compensation fee schedules and regulations - Effective verbal and written communication skills - Good organizational skills and ability to multitask - Detail oriented - Proficiency with Microsoft applications - Medical terminology and coding knowledge Requirements - High school diploma or equivalent - Customer service experience working in the Managed Care and Benefit Administration industries Benefits - Comprehensive benefits package for full-time regular employees - 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 - Paid time off Company Description 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!).

Role Description We are seeking a Bilingual (Spanish) Phone Outreach Associate, specialized in engaging new members. This role will be responsible for making calls to potential members and accurately explaining what we do at Nadia Care and how we serve our community. The ideal candidate will be a quick learner who can memorize scripts and adapt when issues arise during a call. As the voice of our company, the Phone Outreach Associate must possess excellent communication and interpersonal skills, as well as be enthusiastic about helping members and driving membership growth for Nadia Care. This is a fully remote position. The role itself is temporary for approximately six months, with possibility to grow into a full-time role depending on business needs. This role is expected to work from 8:30am-5:30pm ET, with at least two days a week from 11am-8pm ET. This role will report directly to the Phone Outreach Team Lead. Responsibilities - Making calls to potential members, identifying their needs, and providing information about services offered - Answering questions about Nadia Care and the membership journey - Checking if potential members are eligible to enroll with Nadia Care - Registering members with the program and scheduling their first appointment - Maintaining databases by keeping member information up to date - Collaborate with the Growth Team on feedback received from potential members Qualifications - High school diploma or equivalent - Bilingual Spanish speaking required - Call center, sales, or community outreach experience - Outgoing personality who is excited to bring our services to those who need them - Good listening skills and attention to detail - Comfortable with technology and digital platforms - Ability to thrive in a fast-paced, high-growth startup environment - Demonstrated experience in taking direction, learn quickly, and working independently Requirements - Compensation range for this position is between $22-$28/hr. The exact amount will depend on years of direct, relevant experience. Benefits - Time Off That Works for You: Recharge with annual paid holidays off. - Salaried (Exempt) Employees: Enjoy unlimited time off after the 90-day introductory period. - Full-Time (Non-exempt) Employees: Receive three weeks of paid time off after the 90-day introductory period. - Comprehensive Health & Wellness Coverage: - Medical Insurance: Access top-tier healthcare, covering hospital, surgical, and prescription drug benefits. Coverage begins the first of the following month. - Dental Insurance: Coverage for preventive care, as well as basic and major procedures. - Vision Insurance: Coverage for routine eye exams and eyeglasses. - Security & Future Planning Options: - Stock Option Grant: We believe in shared success. - Life Insurance: Financial protection for your beneficiaries. - Disability Insurance: Short-term and long-term coverage in case of illness or injury. - 401(k) Retirement Plan: Opportunity to save for the future.