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Workers' Compensation Appeal Specialist

Reliant
Location
United States - Remote
Posted
20 days ago
Department
Claims Support
What they actually want (must-haves)
  • 2–3 years of relevant experience in Workers’ Compensation bills, medical billing, medical coding, or insurance negotiations
  • Strong understanding of Workers’ Compensation reimbursement methodologies, state regulations, and provider billing practices
  • Experience negotiating medical bill payments or adjustments with providers
  • Ability to collaborate with a variety of individuals both internally and externally
  • Familiarity with claims processing systems and provider communications
  • Excellent communication, negotiation, and organizational skills
What the job really is

As a Workers' Compensation Appeals Specialist at Reliant Health Partners, you will manage post-payment disputes related to Workers' Compensation bills, conducting provider outreach and negotiating charges. Your role involves educating providers on billing practices, ensuring compliance with regulations, and maintaining thorough documentation of communications and resolutions. You will support cost containment efforts while adhering to client protocols and state-specific standards.

Benefits
  • Comprehensive medical, dental, vision, and life insurance coverage
  • 401(k) retirement plan with employer match
  • Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
  • Paid time off (PTO) and disability leave
  • Employee Assistance Program (EAP)
Things to weigh
  • Individual compensation will be commensurate with the candidate's experience and qualifications; salary range provided is $55,000 — $65,000 USD
  • Certain roles may be eligible for additional compensation, including bonuses and merit increases, as well as sales commissions based on a specific plan
  • Role involves managing a caseload which may require strong organizational skills and the ability to handle multiple disputes simultaneously
Job score3/5
Benefits3/5
Freshness4/5
Career value4/5
Role clarity4/5
Pay transparency0/5

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