Revenue Specialist, Worker's Compensation

Location: Remote within the United States; Franklin, Tennessee

Company

hirify.global provides specialty revenue cycle management solutions for healthcare organizations through its E360 RCM intelligent automation platform.

What you will do

• Analyze workers’ compensation claim payments using proprietary software and determine whether providers were reimbursed according to applicable fee schedules and PPO contracts.
• Research and obtain medical records, implant invoices, and other documentation required for accurate claim reimbursement.
• Submit hospital claims, initial bill packets, and appeal letters with complete supporting documentation.
• Follow up with insurance payers by telephone to confirm receipt and facilitate prompt reimbursement.
• Handle protected health information and maintain strict privacy and security standards.

Requirements

• High school diploma or GED required; an associate or bachelor’s degree is preferred.
• 1–2+ years of healthcare billing or collections experience.
• 1+ years of client-facing or customer service experience.
• Intermediate understanding of insurance payer and provider claims processing; workers’ compensation billing experience is preferred.
• Strong computer proficiency, including Microsoft Word, Excel, and Outlook.
• Strong written and verbal communication, analytical, problem-solving, prioritization, and independent-working skills.

Culture & Benefits

• Remote work arrangement for candidates in the United States.
• Professional growth and development support.
• Collaborative, employee-focused culture centered on shared goals and customer service.
• Equal opportunity workplace committed to a discrimination- and harassment-free environment.