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Senior Negotiator
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Full-time
- A Brief Overview Controls programs to obtain the highest possible success rates and reductions on provider claims/bills to provide savings to both the client and the insured.
- Negotiates OON medical claims at $12,500 and greater while also doing daily case assignments for the negotiation team, working up specialty client support items, and managing email inquiries as needed.
- Checklist work up, outbound phone/fax/emails to negotiation, defensible documentation 70%, Daily Assignments 5%, Perform special client support items - 10%.
- Develops complex negotiation strategies and opportunities for potential savings for outpatient and professionals claims or bills valued at $2000 or less.
- Coordinates complex processes for incoming claims/bills to ensure client criteria are maintained (example: turnaround time) and established internal goals are met.
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