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Role Overview:
- You will be responsible for resolving post-payment disputes related to Workers' Compensation bills.
- This includes provider outreach, negotiating disputed charges, and ensuring compliance with state regulations.
Responsibilities:
- Manage a caseload of post-payment Workers' Compensation bills, including state balance billing and UCR disputes.
- Conduct proactive outreach to providers to explain payment methodologies and negotiate reductions.
- Document all communications thoroughly and adhere to compliance standards.
Qualifications:
- 2-3 years of experience in Workers' Compensation bills, medical billing, or insurance negotiations.
- Strong understanding of Workers' Compensation reimbursement methodologies and state regulations.
- Excellent communication, negotiation, and organizational skills.
Benefits:
- Comprehensive medical, dental, vision, and life insurance coverage.
- 401(k) retirement plan with employer match.
- Paid time off, disability leave, and Employee Assistance Program.
Reliant Health Partners
Reliant Health Partners is an innovative medical claims repricing service provider that helps employers achieve maximum health plan savings with tailored services. The company values diversity and inclusion, fostering a collaborative environment as an equal opportunity employer.