Claims Negotiator Job at Robert Half (Eden Prairie)

Job Description

We are looking for a detail-oriented individual to support claims negotiation activities within the health insurance space for a contract position. This role focuses on coordinating with healthcare providers to establish reimbursement arrangements for out-of-network services while ensuring each case progresses accurately and efficiently. The ideal candidate brings strong written and verbal communication, sound judgment, and the ability to manage multiple priorities in a fast-paced remote environment.

Job Responsibility

Evaluate incoming case assignments, interpret referral details, and determine the appropriate next steps for negotiation activity
Contact healthcare providers to discuss case specifics, gather needed information, and build productive working relationships throughout the process
Lead conversations to secure acceptable reimbursement terms and complete single-case or comparable payment agreements when needed
Prepare, revise, and track Letters of Agreement to ensure terms are clearly documented and processed in a timely manner
Keep providers and internal stakeholders informed on case progress from initial outreach through final resolution
Conduct quality checks on case documentation and agreement details to confirm accuracy, completeness, and adherence to standards
Coordinate required authorizations, approvals, and signatures so agreements can be finalized without unnecessary delay
Record case activity thoroughly and maintain organized files that reflect current status, negotiated terms, and supporting documentation
Follow established workflows, compliance expectations, and procedural guidelines while advancing cases toward closure
Distribute completed agreements, confirm final processing steps, and close cases once all documentation requirements have been satisfied

Requirements

Experience working with healthcare providers in a detail-oriented service, claims, or reimbursement-related setting
Ability to perform effectively in a high-volume environment with demanding turnaround expectations
Strong attention to detail with proven skills in organization, prioritization, and time management
Confidence following structured processes and applying complex operational or compliance guidelines accurately
Clear verbal and written communication skills, including the ability to draft clear correspondence
Background in claims negotiation, provider contracting, or single-case agreement work is preferred
Familiarity with reviewing agreement language and maintaining positive provider relationships is highly valued

What we offer

Medical insurance
Vision insurance
Dental insurance
Life and disability insurance
401(k) plan

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