Healthcare Claims Analyst – Provider Negotiations

Green Light Cost Management•Scottsdale, AZ

3d•$23 - $25

About The Position

Green Light is a growing healthcare technology company that partners with health plans and healthcare providers to resolve out-of-network medical claims fairly and efficiently. We are seeking a Healthcare Claims Analyst – Provider Negotiations to join our Negotiations team. In this role, you will work directly with healthcare providers to resolve medical claims through professional phone-based discussions, structured negotiation, and collaborative problem-solving. Unlike traditional claims processing roles, this position is focused on provider communication, reimbursement discussions, and claim resolution strategy, helping reduce patient balance billing while supporting fair outcomes for providers. If you are confident on the phone, enjoy problem-solving, and have experience in healthcare, insurance, billing, collections, customer service, or revenue cycle work, this role offers an opportunity to build specialized expertise in healthcare negotiations.

Requirements

2+ years of experience in healthcare, insurance, medical billing, claims, collections, customer service, revenue cycle, or another high-volume, communication-heavy role.
High school diploma or equivalent required.
Strong verbal and written communication skills.
Confidence speaking with healthcare providers by phone throughout the day.
Ability to manage multiple priorities in a fast-paced environment.
Strong attention to detail and organizational skills.
Comfortable reviewing data and discussing financial/insurance information.
Professional, dependable, and solution-oriented mindset.

Nice To Haves

Experience with negotiation, billing, coding, or claims is a plus but not required—we provide training.

Responsibilities

Engage with healthcare providers by phone to discuss and resolve out-of-network medical claims.
Build professional relationships through clear, confident communication and structured negotiation.
Evaluate claim details and present reimbursement and settlement options within client guidelines.
Explain reimbursement methodologies and answer provider questions in a professional manner.
Negotiate claim resolutions and document outcomes accurately.
Manage a high-volume portfolio of claims while meeting productivity and quality expectations.
Review counteroffers and collaborate with internal teams on resolution strategies.
Maintain detailed and accurate documentation of all claim activity.
Partner with Client Services and Operations teams to ensure timely resolution of claims.
Follow HIPAA requirements and maintain confidentiality of sensitive healthcare information.