Out-of-Network Reimbursement Specialist

2 days ago


Lahore, Punjab, Pakistan beBee Careers Full time

We are seeking an experienced Out-of-Network Negotiator & Corresponding Resource. The ideal candidate will have a strong background in healthcare reimbursement, contract negotiations, and resolving out-of-network billing disputes.

Key Responsibilities:
  • Negotiate out-of-network reimbursement rates with providers, payers, and facilities.
  • Review and resolve billing disputes, underpayments, and denied claims.
  • Familiarity with Texas Medicaid, Medicare, and commercial insurance policies.
  • Communicate effectively with insurance companies, medical providers, and patients.
  • Ensure compliance with Texas state regulations and payer policies.
  • Analyze fee schedules, contracts, and reimbursement trends.
  • Maintain accurate documentation and provide detailed reports.
Qualifications:
  • Minimum 2 years of experience in out-of-network negotiations or medical claims resolution.
  • Texas-specific experience (knowledge of local payers, regulations, and billing practices).
  • Strong understanding of medical billing, coding (CPT, ICD-10), and reimbursement methodologies.
  • Excellent negotiation, communication, and problem-solving skills.
  • Proficiency in Microsoft Office and claims management software.
  • Ability to work independently and manage multiple cases efficiently.


  • Lahore, Punjab, Pakistan beBee Careers Full time

    Expert Reimbursement SpecialistWe are seeking an experienced professional to join our team as a skilled out-of-network negotiator and corresponding resource.About the Role:Negotiate reimbursement rates with providers, payers, and facilities.Review and resolve billing disputes, underpayments, and denied claims.Familiarity with Texas Medicaid, Medicare, and...


  • Lahore, Punjab, Pakistan beBee Careers Full time

    We are seeking an expert in out-of-network negotiations to join our team. The ideal candidate will have a strong background in healthcare reimbursement, contract negotiations, and resolving billing disputes.Job Requirements:Negotiate out-of-network reimbursement rates with healthcare providers, payers, and facilities.Review and resolve billing disputes,...


  • Lahore, Punjab, Pakistan Advanced IT & Healthcare Solutions Full time

    Get AI-powered advice on this job and more exclusive features.We are seeking an experienced Out-of-Network Negotiator & Corresponding Resource to join our team. The ideal candidate will have a strong background in healthcare reimbursement, contract negotiations, and resolving out-of-network billing disputes. Experience working in Texas is essential, as you...


  • Lahore, Punjab, Pakistan beBee Careers Full time

    This position requires a professional with a strong background in healthcare reimbursement, contract negotiations, and resolving out-of-network billing disputes.Duties and Responsibilities:Negotiate reimbursement rates with healthcare providers, insurance companies, and facilities.Review and resolve billing discrepancies, underpayments, and denied...


  • Lahore, Punjab, Pakistan beBee Careers Full time

    This role involves negotiating out-of-network reimbursement rates with providers, payers, and facilities. You will review and resolve billing disputes, underpayments, and denied claims.Responsibilities:Negotiate reimbursement rates with providers, payers, and facilities.Resolve billing disputes, underpayments, and denied claims.Familiarize yourself with...


  • Lahore, Punjab, Pakistan KPMG In Pakistan Full time

    1 week ago Be among the first 25 applicantsDirect message the job poster from KPMG In PakistanA Senior Out Systems Developer - Talent Acquisition SpecialistKPMG is seeking an accomplished Senior Out Systems Developer to join our innovative and forward-thinking team. If you have a proven track record in delivering high-quality, scalable applications and are...


  • Lahore, Punjab, Pakistan beBee Careers Full time

    We're Seeking a Marketing Pro for Out of HomeThis role is perfect for someone with a solid understanding of Out of Home advertising and the ability to strategically connect brands with impactful placements. The OOH Business Development & Marketing Specialist will combine creative marketing ideas with sharp business development skills to help expand our...


  • Lahore, Punjab, Pakistan beBee Careers Full time

    **Job Role:** Network Infrastructure SpecialistWe are seeking a highly skilled Network Infrastructure Specialist to join our team. The successful candidate will have a strong background in computer systems, networks, and cybersecurity protocols, with excellent communication and interpersonal skills.In this role, you will be responsible for managing the...


  • Lahore, Punjab, Pakistan beBee Careers Full time

    Job Overview:Network Infrastructure SpecialistMonitor and optimize network performance using monitoring tools to proactively detect and resolve issues.Provide technical support for network-related problems, including surveillance systems and wireless networks.Troubleshoot issues related to ISPs, network switches, routing configurations, and firewall...


  • Lahore, Punjab, Pakistan beBee Careers Full time

    Network and System Specialist Job DetailsWe are seeking a skilled Network and System Specialist to provide technical support and troubleshooting for hardware, software, and network-related issues.Main Responsibilities:Install, configure, and maintain computer systems, servers, and network infrastructure.Collaborate with cross-functional teams to implement...