Texas Insurance Negotiation Consultant

2 days ago


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 claims.
  • Familiarize yourself with relevant Texas state regulations and payer policies.
  • Develop effective relationships with insurance companies, medical providers, and patients.
  • Stay up-to-date on fee schedules, contracts, and reimbursement trends.
  • Maintain accurate records and provide detailed reports.
Requirements:
  • Minimum 2 years of experience in out-of-network negotiations or medical claims resolution.
  • Texas-specific experience is required.
  • Strong understanding of medical billing, coding, 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.


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