Healthcare Claims & Provider Services Specialist I

Job Description

Job Description

About Green Light

Green Light is a growing healthcare technology company that partners with healthcare providers and health plans to improve the healthcare claims and dispute-resolution process.

We're looking for a detail-oriented, dependable professional who wants to build a career in healthcare operations.  No healthcare or claims experience is required. Training is provided. Candidates with relevant experience may take on more advanced responsibilities.

What You'll Do

• Review and organize claims, case information, and supporting documentation
• Manage emails, calls, case records, and provider communications
• Track cases, deadlines, follow-ups, and required documentation
• Identify missing information and items requiring follow-up
• Support appeals, reimbursement matters, disputes, and case resolution
• Communicate with providers, billing offices, health plans, clients, and internal teams
• Maintain accurate case records and confidential information
• Learn and apply healthcare claims, reimbursement, appeals, and dispute-resolution procedures

As your skills develop, you may take on more complex work involving  IDR, Open Negotiations, No Surprises Act workflows, grievances and appeals, and provider or payer disputes.

What We're Looking For

• High school diploma or equivalent
• Strong attention to detail and organizational skills
• Excellent written and verbal communication
• Ability to learn new processes and terminology
• Comfortable using Microsoft Office and electronic recordkeeping tools
• Ability to manage multiple priorities and meet deadlines
• Dependable, accountable, and willing to ask questions
• Good judgment and a problem-solving mindset
• Commitment to confidentiality

Relevant experience in healthcare, claims, billing, provider services, customer service, administration, or legal support is helpful, but  strong transferable skills and a willingness to learn are equally valued.

If you're ready to learn, contribute, and grow, we'd love to hear from you.