Medical Claims Negotiation Specialist
Location: Fort Worth
Posted on: June 23, 2025
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Job Description:
Join a high-performing team dedicated to reducing healthcare
costs by securing accurate and fair payments on medical claims. As
a Medical Claims Negotiation Specialist, you'll play a crucial role
in analyzing provider billing data, identifying errors, and
negotiating reimbursements—directly influencing cost-containment
outcomes and operational efficiency. Position: Medical Claims
Negotiation Specialist Location: Fort Worth, TX | Remote (must
reside locally) Pay: $19–$20/hour Direct Hire Schedule: Monday -
Friday, 8am - 5pm JOB ID: 150517 KEY RESPONSIBILITIES • Analyze
billing histories and prior negotiations to determine a negotiation
strategy • Review internal reports and professional findings to
validate billing errors • Consult with clinical staff as needed to
prepare for provider outreach • Communicate with providers to
present billing discrepancies and justify charge adjustments •
Negotiate corrections, fee removals, and adjusted payments on
facility, professional, RX, and appeal/litigation claims • Secure
formal agreement through signed Letters of Agreement MINIMUM
QUALIFICATIONS • 3 years’ experience in medical claims processing
or PPO negotiation in managed care or benefits administration • 2
years of customer service experience in healthcare payer
environments • In-depth knowledge of Workers’ Compensation fee
schedules and healthcare regulations • Proven record of negotiating
Group Health, Workers' Comp, Auto, and Liability claims • Strong
skills in EHR systems, medical coding basics, and healthcare
terminology • Prior work-from-home experience with a secure,
private workspace • Reliable high-speed internet (minimum 35 Mbps
download/upload, no hotspot) CORE TOOLS & SYSTEMS • Internal
billing platforms • Electronic Health Records (EHRs) • Microsoft
Office Suite PREFERRED SKILLS • Experience resolving benefit
payment disputes and first-level provider appeals • Strong written
and verbal communication abilities • Detail-oriented with
analytical and investigative strengths LEGAL NOTICE By applying for
this job, you agree to receive calls, AI-generated calls, text
messages, or emails from CornerStone and its affiliates, and
contracted partners. Frequency varies for text messages. Message
and data rates may apply. Carriers are not liable for delayed or
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Keywords: , Keller , Medical Claims Negotiation Specialist, Customer Service & Call Center , Fort Worth, Texas
