Two teams at Pinnacol you may not be familiar with...

Candidates who visit with us are often surprised about the number of career options we offer. That's in part because our corporate headquarters are here in Denver. For many of our competitors the only presence they have in Denver or Colorado is a small regional office which means to truly grow their careers their employees may have to relocate out of state.

One of the teams we have at Pinnacol is called Provider Network Management. Unless you have insurance or healthcare experience you are likely not familiar with this career option. The Provider Network Management team manages Pinnacol’s provider network, SelectNet, the largest network of providers in Colorado. These are the Doctors and other healthcare providers who actually take care of injured workers. This team is responsible for more than half of our business spending, which makes sense for a workers’ compensation insurance company. It oversees overall provider customer service, provider credentialing, contracting, measuring clinical outcomes, compliance, and the physician advisor program and pharmacy expenses. Provider Network Management is also responsible for eliminating unnecessary waste in medical expenditures, and for both employee and provider education. The medical provider community is a key stakeholder group for Pinnacol and the Provider Network Management team conducts surveys and focus groups to listen to this constituency and to find new ways to anticipate providers’ needs and to help them navigate the complexities of workers’ compensation.

Another team you may not be familiar with is our Medical Payment Services group. This team quickly and accurately processes all the bills providers submit to Pinnacol. They audit these bills for proper coding, educate providers about successful billing practices and they are responsible for ensuring appropriate medical expenditures. The team also supports insurance operations through its medical payments liaisons who are responsible for coordinating all facets of medical payment activity for insurance operations. Each liaison is assigned to a business team in insurance operations for one-stop-shop support such as providing information and processing bills associated with settlements and responding to provider complaints.

Coming soon!
Informed by all of the crucial input from their customers, Provider Network Management and Medical Payment Services will soon be recruiting for new positions to provide the level of support needed to meet Pinnacol's goal of supporting the best possible care and outcomes for injured workers. Stay tuned in 2016 as we announce these exciting job opportunities!