Post Payment Claims Specialist (Fully Remote)

Reliant Health Partners, LLC; United States; Remote; USD 52,000 - 72,000; Full time

Benefits offered by this job

HSA/FSA

PTO

Disability leave

EAP

Job summary

Reliant Health Partners is seeking a dedicated claims appeals specialist to educate providers, negotiate post-pay appealed claims, and manage post-payment queues to meet established turnaround standards. You will work to ensure accurate, timely resolutions within regulatory guidelines.

The role requires proactive outreach and negotiation calls, thorough documentation of conversations, and strict HIPAA compliance.

Qualifications

• 2-3 years in appeals, negotiations, or medical billing.
• Experience with provider outreach and claims systems.
• Broad healthcare policy and payment understanding.
• Knowledge of HSA/FSA, PTO, disability leave, and EAP.

Responsibilities

• Contact providers to educate and negotiate post-pay appealed claims.
• Manage post payment queues and meet turnaround standards.
• Conduct outreach and negotiation calls to providers.
• Verify understanding of NSA payments and regulations.
• Document all conversations and maintain HIPAA compliance.

Skills

Medical billing

Negotiations

Post-payment appeals

Tools

Claims systems

Job description

• Contact providers to educate and negotiate post-pay appealed claims.
• Manage post payment queues and meet turnaround standards.

Responsibilities:

• Conduct outreach and negotiation calls to providers.
• Verify understanding of NSA payments and regulations.
• Document all conversations and maintain HIPAA compliance.

Qualifications:

• 2-3 years in appeals, negotiations, or medical billing.
• Experience with provider outreach and claims systems.
• Broad healthcare policy and payment understanding.
• HSA/FSA, PTO, disability leave, and EAP.

Reliant Health Partners

Reliant Health Partners is an innovative medical claims repricing service provider that helps employers achieve maximum health plan savings. The company tailors services to each client’s needs and values a diverse, inclusive workplace.