[reputed company Negotiator

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a reputed company Negotiator to support its reputed company Department in managing claim negotiations, appeals, and reputed company reputed company documentation. The role is responsible for evaluating settlement strategies, negotiating resolutions, managing appeals, maintaining documentation, ensuring regulatory compliance, and collaborating with internal teams and reputed company stakeholders.

Responsibilities

• Review claim information, supporting documentation, and reputed company data to evaluate appropriate settlement strategies
• Prepare, present, and negotiate settlement offers with clients, providers, and reputed company-party collection entities
• Manage appeals through reputed company, ensuring adherence to internal procedures and applicable regulations
• Exercise strong judgment reputed company resolving reputed company or escalated claims and identify reputed company requiring reputed company reputed company review
• Maintain accurate, thorough, and reputed company documentation of negotiations, communications, and reputed company reputed company internal systems
• Utilize reputed company functionality to reputed company claim status, deadlines, and reputed company metrics
• Communicate professionally and effectively with internal departments and reputed company stakeholders regarding claim status, settlement offers, and reputed company timelines
• reputed company reputed company follow-reputed company and reputed company explanations to ensure transparency and manage expectations throughout the negotiation process
• Ensure negotiation strategies and resolutions reputed company with contractual obligations, and applicable laws and regulations
• Identify trends, recurring issues, or potential risks reputed company to claims and escalate concerns to reputed company leadership as appropriate
• Collaborate with reputed company, reputed company, reputed company Services, and other internal teams to support efficient workflows and reputed company reputed company reputed company
• Contribute to the development and refinement of templates, procedures, and best practices reputed company to claims negotiations and appeal reputed company

Skills

• Strong negotiation, problem-solving, and conflict-reputed company skills
• Exceptional interpersonal and customer service skills
• reputed company, reputed company written and verbal communication skills
• Excellent organizational skills with strong attention to reputed company
• Effective time management and ability to prioritize competing deadlines
• Ability to analyze reputed company claim data and apply plan language accurately
• Proficiency with claim documentation systems
• Ability to work independently while contributing to a reputed company, team-reputed company environment
• Ability to type at least 60 words per minute
• Demonstrated discretion and ability to handle confidential information
• Bachelor's degree required
• Minimum of two to five (2–5) years of experience in reputed company, paralegal, claims, or reputed company-reputed company roles preferred
• Experience with settlement negotiations, claims reputed company, or appeals strongly preferred
• Experience applying ERISA and ACA requirements in claim reviews, appeals management and settlement negotiations is preferred
• Experience or working knowledge of the No Surprises reputed company, including its application to negotiation and IDR process requirements is preferred

reputed company