Billing and Appeals Associate

We are seeking a detail-oriented and driven Workers’ Compensation Billing & Collections Specialist to manage end-to-end workers’ compensation and no-fault billing processes.

This role plays a critical part in ensuring accurate claims submission, timely follow-ups, appeals management, and revenue cycle optimization.

The ideal candidate has strong experience in medical billing, workers’ compensation claims, insurance follow-ups, and appeals handling within a fast-paced healthcare environment.

Key Responsibilities



* Initiate contact with workers’ compensation insurance carriers, adjusters, and web portals regarding outstanding claims


* Prepare, submit, and follow up on workers’ compensation and no-fault claims


* Review and appeal denied claims with complete documentation


* Verify and correct insurance and patient demographic information


* Post payments accurately and document payment records in a timely manner


* Manage charge entry, A/R follow-up, collections, and settlement negotiations


* Draft written responses to address billing and collections issues


* Retrieve authorizations and referrals from insurance companies


* Scan, upload, and manage medical records for claims processing


* Stay current with state workers’ compensation guidelines


* Escalate billing trends or recurring issues to management


* Perform additional duties as assigned

Ideal Candidate Traits



* Detail-oriented with high accuracy in data entry


* Strong phone and interpersonal skills


* Ability to work independently while collaborating with team members


* Proactive, assertive, and results-driven


* Customer-focused and solution-oriented


* Adaptable and supportive of change


* Committed to ethical practices and continuous learning

Why Join Us?



* Work in a collaborative and supportive environment


* Opportunity to develop expertise in specialized medical billing


* High-impact role contributing to revenue optimization


* Professional growth and advancement opportunities