Workers Compensation Recovery Specialist

Job Summary

Workers Compensation Recovery Specialist is a remote position responsible for evaluating accounts to ensure compliance with WC guidelines, managing complex billing issues, and submitting appeals for unpaid or underpaid claims.

Key Responsibilities

• Manage a diverse inventory of accounts, including new, priority, aged, and high dollar accounts
• Prepare and submit appeals with required documentation in a timely manner
• Maintain professional relationships with patients, employers, and payer representatives while resolving billing issues

Required Qualifications

• High school diploma or GED
• 1 to 3 years of experience handling Workers' Compensation bills
• Proven results in collecting on hospital claims from insurance companies
• Experience reviewing Explanation of Benefits (EOBs) and appealing underpayments