Posted 2h ago•United States - Remote
Post Payment Claims Specialist
MiddleRemoteSalary undisclosed
Job Description
Reliant Health Partners is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings with minimum noise. We tailor our services to each client’s needs, providing everything from individual specialty claims repricing, to full plan replacement as a high-performance, open-access network alternative.
As a Post Payment Claims Specialist, you are responsible for contacting providers to educate on NSA process/payments, respond to appeals for various products, and negotiate these post pay appealed claims to resolve payment disputes.
Primary Responsibilities:
- Monitor and manage your post payment queues.
- Conduct outreach, education, and negotiation calls to providers for post payment claims.
- Effectively communicate with providers to verify/confirm understanding of NSA claims payments and regulations.
- Effectively communicate with providers to explain claim payments for various pricing products.
- Maintain compliance, including but not limited to Confidentiality and HIPAA requirements.
- Maintain acceptable levels of production including but limited to turn around time st
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