Healthcare Claims Specialist Provider Negotiations

Job Description

Job Description

Salary: $23-25 per hour

Make an Impact in Healthcare Through Problem-Solving and Negotiation

Green Light is a growing healthcare technology company that partners with health plans and healthcare providers to resolve out-of-network medical claims fairly and efficiently.

We are seeking aHealthcare Claims Specialist Provider Negotiations to join our Negotiations team. In this role, you will work directly with healthcare providers to resolve medical claims through professional phone-based discussions, structured negotiation, and collaborative problem-solving.

Unlike traditional claims processing roles, this position is focused onprovider communication, reimbursement discussions, and claim resolution strategy, helping reduce patient balance billing while supporting fair outcomes for providers.

If you are confident on the phone, enjoy problem-solving, and have experience in healthcare, insurance, billing, collections, customer service, or revenue cycle work, this role offers an opportunity to build specialized expertise in healthcare negotiations.

What Youll Do

• Engage with healthcare providers by phone to discuss and resolve out-of-network medical claims.
• Build professional relationships through clear, confident communication and structured negotiation.
• Evaluate claim details and present reimbursement and settlement options within client guidelines.
• Explain reimbursement methodologies and answer provider questions in a professional manner.
• Negotiate claim resolutions and document outcomes accurately.
• Manage a high-volume portfolio of claims while meeting productivity and quality expectations.
• Review counteroffers and collaborate with internal teams on resolution strategies.
• Maintain detailed and accurate documentation of all claim activity.
• Partner with Client Services and Operations teams to ensure timely resolution of claims.
• Follow HIPAA requirements and maintain confidentiality of sensitive healthcare information.

What Were Looking For

• 2+ years of experience in healthcare, insurance, medical billing, claims, collections, customer service, revenue cycle, or another high-volume, communication-heavy role.
• High school diploma or equivalent required.
• Strong verbal and written communication skills.
• Confidence speaking with healthcare providers by phone throughout the day.
• Ability to manage multiple priorities in a fast-paced environment.
• Strong attention to detail and organizational skills.
• Comfortable reviewing data and discussing financial/insurance information.
• Professional, dependable, and solution-oriented mindset.
• Experience with negotiation, billing, coding, or claims is a plus but not requiredwe provide training.

Youll Thrive in This Role If You

• Enjoy solving problems and finding practical, fair solutions.
• Communicate clearly and confidently in professional conversations.
• Stay organized while managing a high-volume workload.
• Are comfortable working within structured guidelines.
• Take ownership of your work and performance goals.
• Want to build a long-term career in healthcare operations or claims strategy.

Why Join Green Light?

At Green Light, your work directly contributes to improving how healthcare claims are resolved. Youll help ensure providers are fairly reimbursed while reducing unexpected financial burden for patients.

We invest in our team through training, mentorship, and opportunities for growth as our company expands.

What We Offer

• Competitive hourly pay
• Bonus opportunities based on performance
• Career growth in healthcare claims strategy and provider negotiations
• Supportive, team-oriented environment
• Training and onboarding for all new hires
• Meaningful work in a growing healthcare technology company

If you are a strong communicator who enjoys structured problem-solving and wants to build a career in healthcare negotiations and claims resolution, wed love to hear from you!