Healthcare Claims & Provider Services Specialist I

Green Light Cost ManagementScottsdale, AZ
$18 - $25

About The Position

About Green Light Green Light is a growing healthcare technology company that partners with healthcare providers and health plans to improve the healthcare claims and dispute-resolution process. We're looking for a detail-oriented, dependable professional who wants to build a career in healthcare operations. No healthcare or claims experience is required. Training is provided. Candidates with relevant experience may take on more advanced responsibilities.

Requirements

  • High school diploma or equivalent
  • Strong attention to detail and organizational skills
  • Excellent written and verbal communication
  • Ability to learn new processes and terminology
  • Comfortable using Microsoft Office and electronic recordkeeping tools
  • Ability to manage multiple priorities and meet deadlines
  • Dependable, accountable, and willing to ask questions
  • Good judgment and a problem-solving mindset
  • Commitment to confidentiality

Nice To Haves

  • Relevant experience in healthcare, claims, billing, provider services, customer service, administration, or legal support is helpful, but strong transferable skills and a willingness to learn are equally valued.

Responsibilities

  • Review and organize claims, case information, and supporting documentation
  • Manage emails, calls, case records, and provider communications
  • Track cases, deadlines, follow-ups, and required documentation
  • Identify missing information and items requiring follow-up
  • Support appeals, reimbursement matters, disputes, and case resolution
  • Communicate with providers, billing offices, health plans, clients, and internal teams
  • Maintain accurate case records and confidential information
  • Learn and apply healthcare claims, reimbursement, appeals, and dispute-resolution procedures
  • As your skills develop, you may take on more complex work involving IDR, Open Negotiations, No Surprises Act workflows, grievances and appeals, and provider or payer disputes.
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