Workers' Compensation Appeals Specialist

Job Summary

A company is looking for an Appeals Specialist - Workers' Compensation.

Key Responsibilities

• Manage a caseload of post-payment Workers' Compensation bills and resolve disputes
• Conduct outreach to medical providers to negotiate disputed charges and educate on billing practices
• Document communications and adhere to compliance standards while maintaining productivity

Required Qualifications

• 2-3 years of relevant experience in Workers' Compensation bills, medical billing, or insurance negotiations
• Strong understanding of Workers' Compensation reimbursement methodologies and state regulations
• Experience negotiating medical bill payments or adjustments with providers
• Familiarity with claims processing systems and provider communications
• Ability to collaborate with various individuals both internally and externally