Reliant Health Partners
Reliant Health Partners
Reliant Health Partners o‘z mablag‘i hisobidan moliyalashtiriladigan tibbiy sug‘urta rejalariga ma’lumotlarga asoslangan da’volarni qayta narxlash va adolatli bozor narxlari yechimlari orqali tibbiy xarajatlarni boshqarishda yordam beradi. Sog‘liqni saqlash xarajatlarini maqbullashtirishga ixtisoslashgan kompaniya uchinchi tomon ma’murlarini, brokerlarni va hisoblarni ko‘rib chiquvchi tashkilotlarni ochiq foydalanish mumkin bo‘lgan rejani almashtirish, tarmoqdan tashqari va baxtsiz hodisalar bo‘yicha da’volarni qayta narxlash, apellyatsiyalarni boshqarish hamda da’volarni tezkor ko‘rib chiqish xizmatlari bilan qo‘llab-quvvatlaydi. Uning xususiy tahlil vositalari tibbiy xizmat ko‘rsatuvchilar bilan nizolar va ma’muriy murakkablikni kamaytirgan holda tejash imkoniyatlarini aniqlashga mo‘ljallangan.

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.

Tavsif

  • 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

Talablar

  • 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

Imtiyozlar

  • 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

O‘xshash ish o‘rinlari

Baker Tilly US

Senior HR Business Partner, Technology

Baker Tilly US

At Baker Tilly, guide talent management, employee relations, and people strategy for the technology practice. Lead programs, compliance, workforce insights, and team development.

Ochish
Smart Working

Mobile Developer, .NET MAUI and C#

Smart Working

Build and maintain cross-platform mobile features for Smart Working, with a balanced focus on frontend and backend development. The role includes API updates, user interface improvements, testing, and collaboration with mobile developers.

Ochish
Peraton

Front-End UI Developer

Peraton

Turn Figma designs into accessible, responsive interfaces for Peraton’s national security and enterprise IT work. Connect UX and engineering across web, mobile, and emerging platforms.

Ochish