Reliant Health Partners
Reliant Health Partners
Reliant Health Partners helps self-funded health plans manage medical costs through data-driven claims repricing and Fair Market Pricing solutions. The healthcare cost-containment firm supports third-party administrators, brokers, and bill-review organizations with open-access plan replacement, out-of-network and casualty repricing, appeals management, and rapid claim turnaround. Its proprietary analytics are designed to identify savings opportunities while reducing provider disputes and administrative complexity.

Post-Payment Claims Specialist — Remote, United States

Manage appealed medical claims after payment, negotiate with providers, and explain No Surprises Act payment requirements. Oversee post-payment queues, regulatory compliance, documentation, and payment disputes for Reliant Health Partners.

Description

  • Oversee post-payment claims queues and related case activity
  • Conduct provider outreach, education, and negotiation calls regarding post-payment claims
  • Confirm that providers understand No Surprises Act payments and applicable regulations
  • Explain claim payments across different pricing products
  • Protect confidential information and comply with HIPAA requirements
  • Meet production goals and legally required turnaround-time standards
  • Record provider communications, contact details, client-authorized payment rates, and counteroffers
  • Follow Reliant and client-specific protocols, scripts, and operating requirements
  • Build knowledge of state and federal regulations affecting provider payments
  • Develop familiarity with the organization’s various products
  • Handle additional job-related responsibilities and special projects as assigned

Requirements

  • Two to three years of relevant experience in appeals, negotiations, or medical billing
  • Background conducting provider outreach by phone or other communication channels
  • Working knowledge of healthcare policies and payment processes
  • Experience using claims workflow tools or systems

Benefits

  • Medical, dental, vision, and life insurance coverage
  • 401(k) retirement plan with an employer match
  • Health Savings Account and Flexible Spending Account options
  • Paid time off and disability leave
  • Employee Assistance Program

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