Out-of-Network Negotiation Specialist

2 days ago


Lahore, Punjab, Pakistan beBee Careers Full time

Expert Reimbursement Specialist

We 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 commercial insurance policies is essential.
  • Communicate effectively with insurance companies, medical providers, and patients.
  • Maintain accurate documentation and provide detailed reports.
Key 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) is highly valued.
  • Strong understanding of medical billing, coding (CPT, ICD-10), and reimbursement methodologies.
  • Excellent negotiation, communication, and problem-solving skills are required.
  • Proficiency in Microsoft Office and claims management software is necessary.
  • Ability to work independently and manage multiple cases efficiently.
Job Details:
  • Seniority level: Entry level
  • Employment type: Full-time
  • Job function: Accounting/Auditing and Finance
  • Industries: Healthcare


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