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MedRisk is seeking a Negotiations Specialist to work remotely, focusing on evaluating and negotiating workers’ compensation claims. The role requires strong analytical skills, knowledge of medical billing, and effective communication to achieve fair settlements while adhering to relevant regulations.
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Job Summary
The Negotiation Specialist evaluates and settles workers' compensation claims while ensuring compliance with applicable laws.
This role requires negotiating with medical providers and other parties to achieve fair and timely resolutions.
Candidates must possess strong knowledge of medical billing codes and state fee schedules to minimize claim exposure.
Matching Summary
Match Score: 75
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MedRisk is seeking a Negotiations Specialist to work remotely, focusing on evaluating and negotiating workers’ compensation claims. The role requires strong analytical skills, knowledge of medical billing, and effective communication to achieve fair settlements while adhering to relevant regulations.
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Skills & Requirements
Must-have
2-5 years workers' compensation experience
Knowledge of CPT, ICD-10, HCPCS codes
Negotiation with medical providers
Review of medical bills and treatment records
Compliance with state workers' comp laws
Nice-to-have
Experience in TPA or insurance carrier
Strong analytical skills for cost containment
Ability to work independently in fast-paced environment
Proficiency with Microsoft Office Suite
Key Requirements
2–5 years of experience in workers' compensation claims handling
Strong understanding of medical billing codes (CPT, ICD-10, HCPCS)