Healthcare Claims & Provider Services Specialist I
Job description
Build Your Career in Healthcare Operations 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 prior healthcare or claims experience is required. Training is provided, and you'll have the opportunity to learn specialized processes while building valuable experience. Candidates with relevant experience may take on more advanced responsibilities as they become familiar with our workflows and systems.
What You'll Do
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 knowledge and 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 .
What We're Looking For
High school diploma or equivalent Strong attention to detail and organizational skills Excellent written and verbal communication Ability and willingness to learn new processes, systems, and terminology Comfort 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 Relevant experience in healthcare, claims, billing, provider services, customer service, administration, or legal support is helpful, but not required.
Strong transferable skills, reliability, and a willingness to learn are equally valued. Grow With Us If you're looking for an opportunity to learn a specialized field, contribute to meaningful work, and build your skills over time , we'd love to hear from you.
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