Post Payment Claims Specialist

. Monitor and manage post payment queues .

Posted 10/7/2026full-timeRemote • United StatesJuniorMid-Level💰 $50,000 - $60,000 per yearWebsite

Key responsibilities & impact

Monitor and manage post payment queues
Conduct outreach, education, and negotiation calls to providers for post payment claims
Communicate with providers to verify and confirm understanding of NSA claims payments and regulations
Explain claim payments for various pricing products
Maintain compliance with Confidentiality and HIPAA requirements
Maintain production levels, including turnaround-time standards mandated by regulations
Document conversations, provider contact details, payment rates offered on behalf of clients, and provider counteroffers
Adhere to client-specific and Reliant protocols, scripts, and other requirements
Develop understanding of state and federal regulations impacting provider payments
Develop understanding of various products
Perform other job-related duties and special projects as required

What you’ll need

2-3 years of related job experience – appeals, negotiations, medical billing
Experience conducting outreach to providers via phone calls or other communication means
Broad healthcare policy and payment understanding
Experience with claims workflow tools or systems

Comp & perks