If you know medical billing, appeals, and how to negotiate with providers without turning it into a circus, this role is built for you. You’ll work post-payment claim disputes, educate providers on No Surprises Act payments, and push appealed claims toward clean resolution.
About Reliant Health Partners
Reliant Health Partners is a medical claims repricing service provider helping employers achieve health plan savings with minimal disruption. They tailor services to each client, ranging from specialty claim repricing to full plan replacement as a high-performance, open-access network alternative.
Schedule
Remote (United States). Pay range is $50,000–$60,000 USD, with compensation based on experience and qualifications. Some roles may be eligible for additional compensation such as bonuses, merit increases, and potentially sales commissions depending on the role’s plan.
What You’ll Do
- Monitor and manage post-payment claim queues
- Conduct outreach, education, and negotiation calls with providers on post-payment claims
- Verify provider understanding of No Surprises Act (NSA) payments and regulations
- Explain claim payments for various pricing products clearly and professionally
- Maintain compliance with confidentiality and HIPAA requirements
- Meet production and turnaround time standards as required by regulation
- Document all conversations, including contact details, rates offered, and provider counteroffers
- Follow client-specific and Reliant protocols, scripts, and requirements
- Build working knowledge of state and federal regulations impacting provider payments
- Develop a strong understanding of Reliant’s products and how they apply to claims
- Complete other job-related duties and special projects as needed
What You Need
- 2–3 years of related experience in appeals, negotiations, and/or medical billing
- Experience conducting outreach to providers by phone or other communication channels
- Broad understanding of healthcare policy and payment practices
- Experience with claims workflow tools or systems
- Ability to follow compliance requirements and critical behaviors in a regulated environment
Benefits
- Medical, dental, vision, and life insurance coverage
- 401(k) with employer match
- Health Savings Account (HSA) and Flexible Spending Accounts (FSAs)
- Paid time off (PTO) and disability leave
- Employee Assistance Program (EAP)
If you’re ready to own a queue, negotiate with confidence, and keep post-pay disputes moving to resolution, this is your lane.
Happy Hunting,
~Two Chicks…