Healthcare Claims Specialist - Provider Negotiations

Job Description

Job Description

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

We’re looking for a Healthcare Claims Specialist – Provider Negotiations to join our team. You’ll talk with healthcare providers by phone, review claims, negotiate reimbursement, and work toward claim resolution.

If you’re a strong communicator who enjoys problem-solving and working with people, this role offers the opportunity to build a career in healthcare claims and negotiations.

What You’ll Do

• Talk with healthcare providers about medical claims and reimbursement.
• Review claim details and negotiate resolutions.
• Answer provider questions and explain reimbursement options.
• Manage a high volume of claims and meet productivity and quality goals.
• Document claim activity and outcomes accurately.
• Work with internal teams to resolve claims.
• Follow HIPAA and confidentiality requirements.

What You’ll Bring

• 2+ years of experience in healthcare, insurance, billing, claims, collections, customer service, revenue cycle, or a similar role.
• Strong communication and listening skills.
• Confidence speaking with providers by phone throughout the day.
• Good organization and attention to detail.
• Comfort discussing financial and insurance information.
• A professional, dependable, and solutions-focused approach.

Healthcare claims or negotiation experience is a plus, but not required. We provide training.

Why Green Light?

• Competitive hourly pay
• Performance-based bonus opportunities
• Training and mentorship
• Career growth opportunities
• Supportive team environment
• Meaningful work in a growing healthcare technology company

If you enjoy talking with people, solving problems, and finding fair solutions, we’d love to hear from you.