Provider Relations Specialist – Workers Comp

EK Health Services Inc.

. Assist in a full range of provider relations and service interactions with the provider community, EK Health clients and partners .

Posted 10/27/2026full-timeRemote • Nevada • United StatesJuniorMid-Level💰 $19 - $21 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Workers' Compensation Bill Review, including analyzing medical bills, understanding CPT codes, and applying statutory regulations. Strong communication skills are essential for effective provider interactions and resolving billing inquiries.

Highest-signal resume keywords

Workers' Compensation Bill Review ExperienceKnowledge Of Medical TerminologyCPT Codes ProficiencyStrong Written And Oral Communication SkillsCPC Certification Or Coursework

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Billing AnalysisUnderstanding Of Fee SchedulesInterpreting Medical ReportsQuality Assurance In Bill ReviewCoding Guidelines Knowledge

Soft Skills

Interpersonal SkillsCustomer Service SkillsAnalytical Skills

Tools & Technologies

MS WordMS ExcelEmail

Certifications & Qualifications

CPC CertificationCertified Professional Coding Coursework

Industry Keywords

Medical BillingProvider RelationsHIPAA ComplianceBill ProcessingMPN/PPO Contracts

About the role

Key responsibilities & impact

Assist in a full range of provider relations and service interactions with the provider community, EK Health clients and partners
Establish and foster provider relationships
Work directly with the Bill Review team to resolve requests related to bill processing
Analyze medical bills based on claim jurisdiction, medical notes, usual and customary rates, statutory regulations, state laws and fee schedules, MPN/PPO contracts, coding guidelines, client instructions, and company policies and procedures
Explain to providers how bills were processed and the methodology used for processing and repricing
Receive provider calls, emails, and voicemails and respond within 48 hours
Monitor the bill review process from initial receipt through final payment
Review and verify medical billing codes and report improper use to Client Inquiries, Enforcer, or QA team
Work with the Bill Review team on quality assurance issues
Communicate with medical providers to obtain information needed to resolve bill-specific issues
Communicate with clients, adjusters, and providers by answering questions quickly and professionally
Participate in ongoing training
Perform other duties as assigned

Requirements

What you’ll need

High School Diploma required
2+ years of experience in complex Workers' Compensation Bill Review with customer service exposure
Knowledge of medical terminology, CPT codes, and DRG
High comfort level with computers and computer programs (MS Word, MS Excel, Email)
Ability to read, analyze, and interpret technical procedures, medical reports, state laws and fee schedules
Hospital Bill Review experience a plus
CPC (Certified Professional Coding) coursework or certification a big plus
Strong Written and Oral Communication & Interpersonal Skills
Candidate must be able to sit the majority of an 8-hour day except for lunch and break times
Candidate must be able to keyboard the majority of an 8-hour day except for lunch and break times
Candidate must have manual dexterity
Candidate must be able to speak on the telephone intermittently throughout the day
Candidate must be able to read and write English fluently
Candidate must be able to provide and confirm safe home office environment
Home office must be HIPAA compliant
Requires DSL, fiber, or cable internet connection from home; 100 Mbps preferred or better
Applicants residing in California, New York, or Hawaii are not being accepted or considered

Benefits

Comp & perks

Medical, Dental and Vision Insurance
401K
Paid Time Off
Paid Holidays
Monthly internet stipend
Equipment provided