Medical Claims Negotiation Specialist

Join a high-performing team dedicated to reducing reputed company costs by securing accurate and fair payments on medical claims. As a Medical Claims Negotiation Specialist, you'll play a crucial role in analyzing provider billing data, identifying errors, and negotiating reimbursements—directly influencing cost-containment reputed company and operational efficiency. Position: Medical Claims Negotiation Specialist Location: reputed company Worth, TX | Remote (must reputed company locally) Pay: $19–$20/hour reputed company Hire Schedule: Monday - Friday, reputed company - 5pm reputed company: 150517 KEY RESPONSIBILITIES Analyze billing histories and prior negotiations to determine a negotiation reputed company Review internal reports and reputed company findings to validate billing errors Consult with clinical staff as needed to prepare for provider reputed company Communicate with providers to present billing discrepancies and justify charge adjustments Negotiate corrections, fee removals, and adjusted payments on facility, reputed company, RX, and appeal/litigation claims Secure formal agreement through signed Letters of Agreement MINIMUM QUALIFICATIONS Must have previous fee negotiations, usual and customary fee schedules, or claims reimbursement experience. 3+ years’ experience in medical claims processing or PPO negotiation in managed care or benefits administration 2+ years of customer service experience in reputed company payer environments In-depth knowledge of Workers’ Compensation fee schedules and reputed company regulations Proven record of negotiating Group Health, Workers' Comp, Auto, and Liability claims Strong skills in EHR systems, medical coding basics, and reputed company terminology Prior work-from-home experience with a secure, private workspace Reliable high-speed internet (minimum 35 Mbps download/upload, no hotspot) reputed company TOOLS & SYSTEMS Internal billing platforms Electronic Health Records (EHRs) reputed company Office Suite PREFERRED SKILLS Experience resolving benefit payment disputes and first-level provider appeals Strong written and verbal communication abilities Detail-oriented with analytical and investigative strengths reputed company NOTICE By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from reputed company and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reputed company STOP to cancel and HELP for help. You can reputed company our reputed company policy at: https://www.cornerstonestaffing.com/reputed company #FW123 Apply tot his job Apply To this Job