Post-Payment Claims Negotiator

Reliant Health Partners, LLC; United States; Remote; USD 50,000 - 60,000; Full time

Benefits offered by this job

Comprehensive medical, dental, vision,

401(k) with employer match

HSA & FSAs

Paid time off and disability leave

Employee Assistance Program (EAP)

Job summary

Reliant Health Partners is seeking a Post Payment Claims Specialist to educate providers on NSA processes, respond to appeals, and negotiate post payment claims to resolve payment disputes. You will manage post payment queues, conduct outreach calls, and ensure HIPAA compliance.

Strong candidates have 2–3 years in appeals/negotiations and experience with claims workflow tools. Compensation ranges from $50,000 to $60,000 USD plus benefits.

Qualifications

• 2–3 years of related job experience – appeals, negotiations, medical billing.
• Experience conducting outreach to providers via phone calls or other communication means.
• Broad healthcare policy and payment understanding.
• Experience with claims workflow tools or systems.

Responsibilities

• Monitor and manage post payment queues.
• Conduct outreach, education, and negotiation calls to providers for post payment claims.
• Verify/confirm understanding of NSA claims payments and regulations with providers.
• Explain claim payments for various pricing products to providers.
• Maintain compliance, including Confidentiality and HIPAA requirements.

Skills

Appeals

Negotiations

Medical Billing

Provider Outreach

Tools

Claims workflow tools

Job description

Reliant Health Partners is seeking a Post Payment Claims Specialist to educate providers on NSA processes, respond to appeals, and negotiate post payment claims to resolve payment disputes. You will manage post payment queues, conduct outreach calls, and ensure HIPAA compliance.

Strong candidates have 2–3 years in appeals/negotiations and experience with claims workflow tools. Compensation ranges from $50,000 to $60,000 USD plus benefits.