Fee Schedule Specialist Job at WellRithms, Inc., Portland, OR

cFdWbnJ2QWFDZEtjclVPQmxseHNZeGRUanc9PQ==
  • WellRithms, Inc.
  • Portland, OR

Job Description

Our Ideal Candidate

As a Fee Schedule Specialist, you'll be responsible for researching, developing, and maintaining state-specific fee schedule requirements to ensure compliance across all relevant business units. This role plays a key part in keeping our systems and teams up to date by clearly communicating updates and supporting testing and validation to ensure accurate implementation. In addition to these core responsibilities, you will collaborate with the tech team to help onboard and automate fee schedule data into our systems, supporting greater efficiency and accuracy.

Responsibilities

  • Partner closely with Bill Review leadership to stay current on new and existing state regulations.
  • Provide clear and accurate fee schedule guidance and compliance support to internal teams, including product, project, and business development teams.
  • Interpret complex fee schedule rules and regulatory requirements and translate them into actionable insights for system updates and business operations.
  • Develop training materials and resources to educate teams across the organization on fee schedule compliance.
  • Stay up to date on billing codes (CPT, HCPC, revenue codes) and reimbursement rules, ensuring our processes align with state-specific regulations.
  • Collaborate with tech teams and the Bill Review Manager to ensure that fee schedule rules and validation logic are correctly built into our system.
  • Support ongoing projects with expert compliance input and assist in troubleshooting fee schedule-related issues.
  • Other duties as needed.

Qualifications

  • Bachelor's degree in a related field preferred, but not required.
  • 3+ years of experience in workers' compensation, healthcare reimbursement, or a related field.
  • Strong background in regulatory documentation and the ability to communicate state regulation updates clearly to diverse teams.
  • Experience working with engineering and compliance teams to ensure proper system implementation of regulatory changes.
  • Excellent written, verbal, and interpersonal communication skills.
  • Strong organizational skills with the ability to manage complex tasks independently.
  • High attention to detail and ability to meet deadlines in a fast-paced environment.
  • Comfortable working with Microsoft Office tools, especially Excel, Word, and Outlook.
  • Proactive, solution-oriented, and able to collaborate across departments with a team-first attitude.

Please Note: At this time, we are unable to consider applicants who require work visa sponsorship. Candidates must be authorized to work in the United States without current or future sponsorship.

Job Tags

Work at office, Visa sponsorship, Work visa,

Similar Jobs

Path Construction

Safety Manager - Construction Job at Path Construction

 ...Path Construction is looking for an experienced and dedicated Safety Manager to join our team in the Arlington Heights, IL area. Path is a rapidly growing commercial general contractor with offices in Arlington Heights, IL; Charlotte, NC; Knoxville, TN; Tampa, FL; Dallas... 

HR Consulting Solutions LLC

Director of Public Works Job at HR Consulting Solutions LLC

 ...Director of Public Works City of St. Charles, Missouri Salary Range: $149,984 $209,978 (Dependent on Qualifications and Experience) About the Role The City of St. Charles, Missouri is seeking an experienced and visionary Director of Public Works to lead its... 

Midwest Logistic Systems

Midwest Logistics Systems Dedicated truck driver - 4 day work schedule Job at Midwest Logistic Systems

 ...every day. Haul automotive parts in dry van trailers with newer trucks. No-touch, mostly drop-and-hook freight. Load and unload...  ...of Schneider, Midwest Logistics Systems, Ltd. (MLS) is operated separately from Schneider with its own operating procedures, qualification... 

Firetrol Protection Systems

Helper-Inspections Job at Firetrol Protection Systems

 ...Founded in 1984, Firetrol is the national leader in fire protection & life safety services. We are currently seeking Inspection Helpers to join our team of over 900 of the best fire protection professionals in the industry. This position is in our Austin, Texas office... 

Total Quality Logistics

Entry Level Recruiter Job at Total Quality Logistics

About the role: As a recruiter for TQL, you will own the entire candidate search process while managing the needs of your dedicated on-site hiring manager. Our Recruiting team is responsible for finding sales talent nationwide. We pride ourselves on our sense of urgency...