Remote Provider Relations Representative Jobs
Remote provider relations representative jobs are open across the U.S. in healthcare, managed care, and insurance, at remote-first payers, third-party administrators, and health tech companies hiring for everything from entry-level coordinators to senior relationship managers. Employers hiring remotely right now include The Emily Program, Sylvan Health, and Molina Healthcare. See the openings below and apply to the ones that match your experience.
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INTRODUCTION
The Provider Relations Specialist assists providers via phone and email with bill review questions and requests of varying complexity. This role is responsible for documenting bill review errors to improve team error rate trend. The Provider Relations Specialist acts as a positive and professional representative of our CorVel family. The role ensures compliance with company best practice standards while also enabling consistent, timely delivery of our quality services.
This role may be transitioned into a Knowledge Center Representative role within the first year of employment, based on business needs. While both the Provider Relations Specialist and the Knowledge Center Representative roles are customer support roles with overlapping core functions, specific responsibilities pertaining to only the Knowledge Center Rep role are marked as such in the below job description.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
- Communicate clearly and professionally with providers and other stakeholders via phone and email
- Understand Workers Compensation guidelines and various client contract language to interpret and support our bill review
- Navigate the bill review application to obtain accurate information for the callers
- Understand CorVel EORs as well as client-specific nuances
- Answer basic to complex State WC fee schedule and/or billing questions on processed medical bills covering regular as well as facility bill types
- Understand and be able to properly explain provider contracted rates, and carve-outs applied to medical bills
- Knowledge Center Rep:
- Provide administrative customer service assistance to claimants, providers, and other interested parties by answering telephonic inquiries with a focus on first-call resolution
- Accurately capture and enter data into CareMC and other internal systems
- Additional duties as assigned
KNOWLEDGE & SKILLS:
- Strong knowledge of fee schedule and network contracts
- Strong customer service skills and experience
- Strong organizational skills
- Ability to work independently and in a team environment
- Ability to control phone calls to ensure timely resolution and lower provider hold times
- Excellent verbal and written communication and interpersonal skills
- Working knowledge of Microsoft Office (Word, Excel)
EDUCATION & EXPERIENCE:
- Associate’s degree preferred or comparable Workers Comp experience
- Knowledge of assigned State’s Workers’ Comp regulations
- CPC and/or expert in bill review analysis preferred
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: $13.38 - $23.42 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.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
INTRODUCTION
The Provider Relations Specialist assists providers via phone and email with bill review questions and requests of varying complexity. This role is responsible for documenting bill review errors to improve team error rate trend. The Provider Relations Specialist acts as a positive and professional representative of our CorVel family. The role ensures compliance with company best practice standards while also enabling consistent, timely delivery of our quality services.
This role may be transitioned into a Knowledge Center Representative role within the first year of employment, based on business needs. While both the Provider Relations Specialist and the Knowledge Center Representative roles are customer support roles with overlapping core functions, specific responsibilities pertaining to only the Knowledge Center Rep role are marked as such in the below job description.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
- Communicate clearly and professionally with providers and other stakeholders via phone and email
- Understand Workers Compensation guidelines and various client contract language to interpret and support our bill review
- Navigate the bill review application to obtain accurate information for the callers
- Understand CorVel EORs as well as client-specific nuances
- Answer basic to complex State WC fee schedule and/or billing questions on processed medical bills covering regular as well as facility bill types
- Understand and be able to properly explain provider contracted rates, and carve-outs applied to medical bills
- Knowledge Center Rep:
- Provide administrative customer service assistance to claimants, providers, and other interested parties by answering telephonic inquiries with a focus on first-call resolution
- Accurately capture and enter data into CareMC and other internal systems
- Additional duties as assigned
KNOWLEDGE & SKILLS:
- Strong knowledge of fee schedule and network contracts
- Strong customer service skills and experience
- Strong organizational skills
- Ability to work independently and in a team environment
- Ability to control phone calls to ensure timely resolution and lower provider hold times
- Excellent verbal and written communication and interpersonal skills
- Working knowledge of Microsoft Office (Word, Excel)
EDUCATION & EXPERIENCE:
- Associate’s degree preferred or comparable Workers Comp experience
- Knowledge of assigned State’s Workers’ Comp regulations
- CPC and/or expert in bill review analysis preferred
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: $13.38 - $23.42 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.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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Who's Hiring
Top Industries Hiring
- Technology & Software
- Healthcare & Medical Services
What Employers Look For
The qualifications that appear most often in remote provider relations representative jobs.
- Two or more years of experience in provider relations, credentialing, or healthcare contracting
- Proficiency with provider data management and credentialing platforms such as CAQH or PECOS
- Knowledge of managed care, Medicare, Medicaid, or commercial insurance plan structures
- Strong verbal and written communication skills for provider outreach and dispute resolution
- Associate or bachelor's degree in healthcare administration, business, or a related field
- Familiarity with contract terms, network adequacy standards, and provider appeals processes
Tips for Your Remote Provider Relations Representative Job Search
Apply early to remote roles that fit
Migrate Mate lists remote provider relations representative openings from across the U.S. in one place, so you can find roles that match your background and apply directly without sorting through unrelated postings.
Prove your async communication skills upfront
Remote provider relations representatives handle provider inquiries, escalations, and contract questions entirely through email, ticketing systems, and video calls. Show writing samples or document examples that demonstrate you can resolve complex provider issues clearly without back-and-forth.
Highlight self-managed caseloads in your resume
Remote employers need to know you can own a provider portfolio without daily manager check-ins. Quantify how many providers or accounts you managed independently and call out any process you built or improved without on-site support.
Prepare for a remote-specific interview round
Many remote hiring teams add a practical screen, asking you to walk through a provider dispute resolution or contract issue over video. Practice talking through your decision process out loud and have a quiet, professional remote setup ready before your first call.
Remote Provider Relations Representative Jobs: Frequently Asked Questions
How do I get a remote provider relations representative job?
Focus your search on health plans, managed care organizations, and health tech companies that operate distributed teams, since these employers are most likely to hire provider relations representatives remotely. Remote hiring managers screen hard for self-direction, clear written communication, and experience managing provider inquiries or contracts without in-person support. Demonstrating you can resolve issues independently and document outcomes without hand-holding gives you a clear edge.
Which companies hire remote provider relations representatives?
Remote provider relations representative roles are posted by The Emily Program, Sylvan Health, and Molina Healthcare and others right now, based on current remote listings on Migrate Mate as of August 2026. Remote-first payers, third-party administrators, and distributed health tech firms make up the bulk of employers posting these roles outside a fixed office.
Can you get a remote provider relations representative job with no experience?
Yes, but remote entry-level roles are harder to land because employers expect you to troubleshoot provider issues and manage relationships with minimal supervision from day one. Health tech startups and smaller third-party administrators are the most likely to hire entry-level remotely. Showing familiarity with provider networks, healthcare terminology, or customer-facing roles in a healthcare adjacent setting can open the door when direct experience is thin.
Do you need a degree for remote provider relations representative jobs?
Not always. Many remote employers in managed care and health tech weigh demonstrated provider contracting or customer service experience alongside or instead of a formal degree. What matters most is your ability to resolve provider disputes, communicate clearly in writing, and work through credentialing or contract questions without needing an on-site team around you.
Which industries hire the most remote provider relations representatives?
Remote provider relations representative roles concentrate in Technology & Software and Healthcare & Medical Services, based on current remote listings on Migrate Mate as of August 2026. These sectors rely on distributed teams that manage provider networks across wide geographic areas, making the role a natural fit for fully remote work.
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