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Healthcare Claims Specialist – Provider Negotiations

Scottsdale, Arizona, United States · On-site

$23/hr–$25/hr

Mid level

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 claim…

Skills: Provider Negotiations, Medical Claims Resolution, Healthcare Billing, Revenue Cycle Management, Professional Communication

Green Light logo

Healthcare Claims Specialist – Provider Negotiations

Green Light

Scottsdale, Arizona, United States • On-site

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Mid level

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  • $23/hr–$25/hr
  • Full-time
  • high school
  • Bonus Opportunities, Career Growth, Training And Onboarding
  • Posted 32d ago
  • ~40 hrs/week

Responsibilities

Engage with healthcare providers via phone to negotiate and resolve out-of-network medical claims. Evaluate reimbursement options and maintain detailed documentation to ensure fair outcomes for both providers and patients.

Requirements

Requires a high school diploma and at least 2 years of experience in healthcare, insurance, billing, or a high-volume communication role. Candidates must be confident in phone-based negotiations and possess strong organizational skills.

Full job description

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 a Healthcare 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 on provider 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 You’ll 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 We’re 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 required—we provide training.



You’ll 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. You’ll 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, we’d love to hear from you!

Related keywords

Healthcare TechnologyOut-of-network ClaimsMedical BillingRevenue CycleHIPAAReimbursement MethodologiesClaims ProcessingProvider RelationsSettlement OptionsHealthcare Operations

About Green Light

LinkedInVisit site

We exist to help health plan dollars go as far as possible.

Industry
Hospitals and Health Care
Company size
11-50 employees
Founded
2011
Headquarters
Scottsdale, AZ
LinkedIn followers
230

Green Light is a healthcare technology company focusing primarily on healthcare cost management and workflow optimization. We partner with health plan stakeholders to identify cost drivers in their health plans and to customize a cost management strategy designed to maximize savings, while protecting health plan members from balance billing. Our powerful combination of technology, service, and performance yields tremendous value for our customers while substantially increasing savings and overall efficiencies in workflow. Green Light’s comprehensive suite of cost management solutions includes Coding Validation, Claims Editing, Reference-Based Pricing, Claim Negotiations, Medical Bill Review, Appeals Handling, Data Analytics, No Surprise Solutions and more. Contact us with questions or to request more information on how we can help your health plan at [email protected].

Offices: 17015 North Scottsdale Road, Suite 350, Scottsdale, AZ 85255, US

Health Care and Out-of-Network Cost ManagementHospitalHealth CareManagement Consulting
View all jobs at Green Light

About Green Light

LinkedInVisit site

We exist to help health plan dollars go as far as possible.

Industry
Hospitals and Health Care
Company size
11-50 employees
Founded
2011
Headquarters
Scottsdale, AZ
LinkedIn followers
230

Green Light is a healthcare technology company focusing primarily on healthcare cost management and workflow optimization. We partner with health plan stakeholders to identify cost drivers in their health plans and to customize a cost management strategy designed to maximize savings, while protecting health plan members from balance billing. Our powerful combination of technology, service, and performance yields tremendous value for our customers while substantially increasing savings and overall efficiencies in workflow. Green Light’s comprehensive suite of cost management solutions includes Coding Validation, Claims Editing, Reference-Based Pricing, Claim Negotiations, Medical Bill Review, Appeals Handling, Data Analytics, No Surprise Solutions and more. Contact us with questions or to request more information on how we can help your health plan at [email protected].

Offices: 17015 North Scottsdale Road, Suite 350, Scottsdale, AZ 85255, US

Health Care and Out-of-Network Cost ManagementHospitalHealth CareManagement Consulting
View all jobs at Green Light

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