Appeals Specialist - Workers' Compensation

Reliant Health Partners LLC

Remote
Base: $50,000 - $60,000 usd; bonus/equity: not spe...
Remote
Workers' compensation billing
Provider outreach and negotiation
State-specific regulations
Manage a caseload of post-payment Workers’ Compensation bills, including state balance billing and UCR disputes

Job Summary

  • Manage a caseload of post-payment Workers’ Compensation bills, including state balance billing and UCR disputes.
  • Conduct proactive outreach to medical providers to explain payment methodologies, resolve disputes, and negotiate reductions.
  • Reliant Health Partners offers comprehensive benefits including medical, dental, vision, 401(k) with match, and PTO.

Matching Summary

Manage a caseload of post-payment Workers’ Compensation bills, including state balance billing and UCR disputes.

Salary

Base: $50,000 - $60,000 USD; Bonus/Equity: Not specified; Benefits: Comprehensive medical, dental, vision, life insurance, 401(k) with match, HSA/FSAs, PTO, disability leave, EAP

Skills & Requirements

Must-have

  • Workers' Compensation billing
  • provider outreach and negotiation
  • state-specific regulations
  • HIPAA compliance
  • claims processing systems

Nice-to-have

  • team collaboration
  • discretion and ethical conduct
  • adaptability to change

Key Requirements

  • 2-3 years of relevant experience
  • Workers' Compensation reimbursement knowledge
  • Negotiation experience with providers
  • Familiarity with claims processing systems

Work Rights

Not specified

Tailored Resume

Cover Letter