Workers' Compensation Appeal Specialist at jobgether

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Workers' Compensation Appeal Specialist based in United States. As a Workers' Compensation Appeal Specialist, you will play an important role in resolving post-payment medical billing disputes and supporting effective healthcare cost containment. You will manage a caseload of Workers' Compensation bills, including balance billing and usual-and-customary-rate disputes. The role combines provider outreach, payment negotiation, regulatory compliance, and detailed case documentation. You will work directly with healthcare providers and internal clients to investigate appeals and reach appropriate resolutions. Your expertise will help ensure accurate reimbursement while maintaining compliance with state-specific requirements and HIPAA standards. This is an opportunity to contribute to a collaborative, detail-oriented environment where communication, judgment, and organization are highly valued. The ideal candidate is confident handling negotiations, comfortable navigating complex billing matters, and committed to delivering timely, high-quality outcomes.