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Negotiator Analyst, Level I

AnalystAnalystFull TimeRemoteTeam 10,001+Since 1963H1B No SponsorCompany Site LinkedIn

Location

Idaho + 2 more

Posted

28 days ago

Salary

$47.0K - $122.4K / year

Associate Degree3 yrs expEnglish

Job Description

• Negotiate out-of-network (OON) medical claims valued at $10,000 and above • Learn the negotiation role and understand (U&C) calculated rates and benchmarking of medical costs • Develop role as a negotiator, working with training staff and team members • Conduct checklist workups and manage outbound communications via phone, fax, and email to facilitate negotiations • Work up and organize daily cases • Make outbound calls and develop provider contacts

Job Requirements

3-5 years of experience in a medical claim background
Strong understanding of benchmarking costs for medical services, supplies, and drugs
Previous medical provider/business office phone call handling history
Strengths in mathematical, written, and verbal skills
Coding experience, CMS, and/or CPC Certification (preferred)
Proficient in Usual and Customary (calculations) and cost-benchmarking for drugs, supplies, and services

Benefits

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access