Carisk Partners is a specialty risk transfer and care-coordination company serving insurers, government entities, self-insured plan sponsors, and other managed care organizations.
This role serves as a key liaison between healthcare providers and the Workers' Compensation Payment Integrity Department. The Provider Relations Specialist supports provider engagement, resolves reimbursement inquiries, facilitates provider education, and assists with dispute resolution. The position works closely with internal teams to help ensure accurate reimbursement outcomes while maintaining positive provider relationships and supporting payment integrity objectives.
Qualifications
- Associate's or Bachelor's degree in Healthcare Administration, Business Administration, Finance, Nursing, or a related field preferred
- Equivalent work experience may be substituted for formal education
- 2 to 5 years of experience in workers' compensation, healthcare reimbursement, provider relations, medical billing, claim operations, payment integrity, or bill review
- Experience interacting with healthcare providers and resolving reimbursement-related issues preferred
- Strong customer service and relationship management skills
- Excellent verbal and written communication abilities
- Effective conflict resolution and problem-solving skills
- Strong attention to detail and analytical capabilities
- Ability to manage multiple priorities and meet deadlines
- Ability to communicate complex reimbursement concepts clearly and professionally
- Proficiency with Microsoft Office Suite, including Excel, Word, Outlook, and Teams
- Experience with claims management, bill review, or reimbursement platforms preferred
- Experience with provider databases and reporting systems preferred
Core Competencies
- Relationship building
- Customer service excellence
- Conflict resolution
- Communication skills
- Accountability
- Regulatory compliance
- Team collaboration
- Attention to detail
Benefits and Perks
- 10 paid company holidays
- Paid time off
- Competitive medical, dental, and vision insurance
- Company-sponsored life insurance
- Supplemental life insurance
- Short-term and long-term disability coverage
- Employee assistance program
- Flexible spending account
- 401(k) retirement plan with company match
- ClassPass wellness program
- Employee discount program
- Flexible and hybrid schedule options
- Internal education programs and tuition reimbursement options
- Internal advancement opportunities
- Company-wide diversity and holiday celebrations
Location
N/A
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago