
Texas Insurance Negotiation Consultant
2 days ago
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.
- 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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