Senior WC Claims Specialist - Complex Cases

Harris Computer; Nashville (TN); Remoto; USD 80.000 - 110.000; Tempo pieno

Descrizione del lavoro

Harris Computer seeks a Senior Workers' Compensation Specialist, Complex Claims, to autonomously manage WC and No-Fault accounts, verify carrier details, and handle billing, denials and appeals through to payment. The role requires independent judgment and collaboration with leadership to streamline workflows and improve reimbursement.

Orthopedic and pain management billing knowledge, plus state WC guidelines and major carriers, are highly valued.

Competenze

• Strong workers' compensation billing knowledge and familiarity with state WC guidelines.
• Experience negotiating with carriers and adjusters.
• Mentoring and training less-experienced teammates.

Mansioni

• Verify WC carrier and claim information during billing and documentation.
• Prepare and submit claims and appeals within deadlines.
• Post payments and document payment records promptly.
• Identify trends and communicate them to leadership to improve workflows.

Conoscenze

Attention to detail

Negotiation

Autonomous work

Billing experience

Descrizione del lavoro

Harris Computer seeks a Senior Workers' Compensation Specialist, Complex Claims, to autonomously manage WC and No-Fault accounts, verify carrier details, and handle billing, denials and appeals through to payment. The role requires independent judgment and collaboration with leadership to streamline workflows and improve reimbursement.

Orthopedic and pain management billing knowledge, plus state WC guidelines and major carriers, are highly valued.