Help resolve payment disputes the right way after claims have already been paid. If you’ve got healthcare claims chops and you’re comfortable negotiating with providers, this role lives at the intersection of compliance, communication, and money.
About Reliant Health Partners
Reliant Health Partners is a medical claims repricing service provider that helps employers maximize health plan savings with minimal disruption. Their solutions range from individual specialty claim repricing to full plan replacement as a high-performance network alternative.
Schedule
- Full-time, remote (United States)
What You’ll Do
- Monitor and manage post-payment claim queues
- Conduct outreach, education, and negotiation calls with providers on post-payment claims
- Explain and confirm provider understanding of No Surprises Act (NSA) payments and related regulations
- Explain claim payments across different pricing products
- Maintain strict compliance with confidentiality and HIPAA requirements
- Meet production expectations, including turnaround time standards tied to regulations
- Document all provider interactions, including contact details, rates offered, and counteroffers
- Follow client-specific and Reliant protocols, scripts, and requirements
- Build strong working knowledge of state and federal regulations impacting provider payments
- Learn and support Reliant’s product offerings
- Handle additional duties and special projects as needed
What You Need
- 2–3 years of related experience (appeals, negotiations, and/or medical billing)
- Experience doing provider outreach by phone or other communication channels
- Broad understanding of healthcare policy and payment workflows
- Experience with claims workflow tools/systems
- Strong compliance mindset and comfort working within regulated processes
- Clear communication skills and confidence negotiating payment disputes
Benefits
- $50,000–$60,000 USD salary range
- 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)
They’re screening hard for people who can talk to providers without folding and still keep everything compliant. If you’ve got appeals + negotiation experience, this is a legit remote lane.
Happy Hunting,
~Two Chicks…