Description
We are looking for a detail-oriented individual to support claims negotiation activities within the health insurance space for a contract position. This role focuses on coordinating with healthcare providers to establish reimbursement arrangements for out-of-network services while ensuring each case progresses accurately and efficiently. The ideal candidate brings strong written and verbal communication, sound judgment, and the ability to manage multiple priorities in a fast-paced remote environment.


Responsibilities:

• Evaluate incoming case assignments, interpret referral details, and determine the appropriate next steps for negotiation activity.

• Contact healthcare providers to discuss case specifics, gather needed information, and build productive working relationships throughout the process.

• Lead conversations to secure acceptable reimbursement terms and complete single-case or comparable payment agreements when needed.<...