Workers' Comp Provider Education & Relations Specialist

Zynex-Medical,-Inc.; Los Angeles (CA); On-site; USD 90,000 - 130,000; Full time

Job summary

Zynex-Medical, Inc. is seeking a Provider Relations Specialist to strengthen provider engagement and guide navigation of Workers' Compensation requirements, reimbursement considerations, documentation expectations, authorization processes, and NexWave utilization.

The role focuses on building trusted relationships with providers, clinics, case managers, TPAs, adjusters, and internal partners to resolve issues and improve provider experience and patient access.

Qualifications

• 2+ years of healthcare or Workers' Compensation, provider relations, account management, sales or related experience; Workers' Compensation experience strongly preferred
• Experience with occupational medicine, physical therapy, musculoskeletal care, Workers' Compensation or related healthcare environments preferred
• Working knowledge of Workers' Compensation reimbursement, authorization, utilisation review, documentation or claims processes
• Demonstrated ability to develop and maintain strong relationships with healthcare providers and other clinical or operational stakeholders
• Strong presentation, education, communication and relationship-management skills
• Ability to explain complex reimbursement or operational concepts clearly to clinical and non-clinical audiences
• Strong problem-solving skills with the ability to coordinate across multiple internal teams
• Ability to work independently, manage multiple relationships and priorities and maintain consistent follow-through
• Valid driver’s licence and ability to travel as needed to support assigned accounts and provider relationships

Responsibilities

• Serve as a Workers' Compensation Resource and educate providers on WC considerations impacting ordering, documentation, authorization, and utilization of NexWave.
• Educate clinical and administrative teams on appropriate patient identification, ordering processes, documentation requirements, and NexWave utilization.
• Reinforce NexWave's role within treatment pathways and early intervention when clinically appropriate.
• Identify barriers affecting provider experience, patient access, approvals, or utilization and coordinate across internal teams to implement solutions.
• Develop trusted relationships with occupational medicine clinics, urgent care centers, physical therapy and musculoskeletal providers, case managers, TPAs, adjusters, and other WC stakeholders.
• Maintain regular communication with assigned accounts to understand needs and opportunities for additional support.
• Identify knowledge gaps or process challenges and provide targeted education to improve provider confidence and experience.
• Partner with internal teams to resolve account-specific issues and improve the provider experience.

Skills

Workers' Compensation knowledge

Relationship management

Education & support

Consultative problem solving

Stakeholder communication

Independent ownership

Job description

Zynex-Medical, Inc. is seeking a Provider Relations Specialist to strengthen provider engagement and guide navigation of Workers' Compensation requirements, reimbursement considerations, documentation expectations, authorization processes, and NexWave utilization.

The role focuses on building trusted relationships with providers, clinics, case managers, TPAs, adjusters, and internal partners to resolve issues and improve provider experience and patient access.