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Medical Claims Negotiator Jobs (NOW HIRING)

Vanguard Group Staffing

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Medical Claims Processor

White Plains, NY · On-site

$24 - $30/hr

Long Term Temporary, Possible Temporary- to -Direct Hire Medical Billing/Claims Coordinator ... Triage balance billing/fee negotiation inquiries and ensure all documents are processed in a timely ...

The Reny Company

Medical Bill/Claim Negotiator

Plano, TX · On-site

$38K - $48K/yr

Monitoring In-Process Claims Report in order to meet each client's expected turnaround time. Contracting with medical providers by utilizing out of network claim on hand as well as cold calling ...

battleface

Claims Adjuster

Stevens Point, WI · On-site

From medical emergencies to travel disruptions, Robin Assist delivers 24/7 claims handling ... Strength in writing, negotiation, communication, organization, reporting, data gathering, reserving ...

battleface

Claims Adjuster

Stevens Point, WI

From medical emergencies to travel disruptions, Robin Assist delivers 24/7 claims handling ... Strength in writing, negotiation, communication, organization, reporting, data gathering, reserving ...

Judi Health

Claims Adjudication Associate

New York, NY · On-site +1

$19.50 - $26.25/hr

Evaluate complex medical claims, coverage issues, and benefit determinations by reviewing claim facts, plan documents, applicable laws and regulations, medical coding information, and supporting ...

battleface

Claims Adjuster

Stevens Point, WI · Remote

From medical emergencies to travel disruptions, Robin Assist delivers 24/7 claims handling ... Strength in writing, negotiation, communication, organization, reporting, data gathering, reserving ...

Capital Rx

Claims Adjudication Associate

Manhattan, NY · On-site

$19.50 - $26.50/hr

Evaluate complex medical claims, coverage issues, and benefit determinations by reviewing claim facts, plan documents, applicable laws and regulations, medical coding information, and supporting ...

The Reny Company

Medical Claims Data Entry

Plano, TX · On-site

$17 - $20/hr

The Reny Company's healthcare claims data entry personnel is a professional who combines experience ... We specialize in medical bill review and negotiation services for workers compensation, non ...

The AF Group

Medical Only Claims Trainee

Lansing, MI · On-site

Medical Only Claims Associate will work with all members of the team and may receive direction, support, and instruction from the Manager or Medical Only Claims Specialists depending on the ...

Anasazi Medical Payment

Legal Negotiator

Phoenix, AZ · On-site

Claims Negotiations & Appeals · Review claim information, supporting documentation, and system data to evaluate appropriate settlement strategies. · Prepare, present, and negotiate settlement ...

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Medical Claims Negotiator information

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$14

$22

$31

How much do medical claims negotiator jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for medical claims negotiator in the United States is $22.21, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $24.52 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a medical claims negotiator?

A Medical Claims Negotiator needs a solid understanding of medical billing, insurance claims processes, and healthcare regulations, typically supported by experience in healthcare administration or claims management. Proficiency in claims management software, medical coding systems (such as ICD-10 and CPT), and familiarity with payer portals are commonly required. Strong negotiation, analytical thinking, and communication skills help professionals effectively resolve disputes and secure favorable outcomes for clients or organizations. Mastery of these skills ensures timely, cost-effective settlements and fosters positive relationships between patients, providers, and insurers.

What is the difference between Medical Claims Negotiator vs Medical Billing Specialist?

AspectMedical Claims NegotiatorMedical Billing Specialist
CredentialsCertification in claims or insurance processing often preferredCertification in medical billing or coding often preferred
Work EnvironmentInsurance companies, healthcare providers, or third-party payersHospitals, clinics, or medical offices
Primary FocusNegotiating claim settlements and maximizing reimbursementsPreparing and submitting medical bills and coding claims

The Medical Claims Negotiator primarily focuses on negotiating insurance claims and settlements, while the Medical Billing Specialist handles billing, coding, and submitting claims. Both roles require knowledge of insurance processes, but their core responsibilities differ, with negotiators emphasizing reimbursement negotiations and billing specialists managing claim submissions.

Is claims processing a stressful job?

Medical Claims Negotiators often find claims processing to be a demanding task due to strict deadlines, detailed documentation, and the need for accuracy. The job requires strong organizational skills and attention to detail, which can contribute to work-related stress, especially during high-volume periods or complex cases.

What are some common challenges faced by medical claims negotiators when working with insurance companies and healthcare providers?

Medical Claims Negotiators often encounter challenges such as complex policy language, varying reimbursement rates, and resistance from both payers and providers during negotiations. Balancing the interests of patients, insurance companies, and healthcare providers requires strong communication and problem-solving skills. Additionally, negotiators must stay updated on healthcare regulations and industry trends to effectively advocate for fair settlements. Building relationships and maintaining professionalism under pressure are key to overcoming these challenges and securing optimal outcomes.

What is a medical claims negotiator?

A Medical Claims Negotiator is a professional who acts as a liaison between patients, healthcare providers, and insurance companies to resolve billing disputes and reduce out-of-pocket medical expenses. They review medical bills, insurance policies, and claim denials to ensure charges are accurate and to negotiate lower costs on behalf of patients or organizations. Their goal is to facilitate fair settlements, clarify coverage, and help clients navigate the complex healthcare billing system.
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What states have the most Medical Claims Negotiator jobs?

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Medical Claims Negotiator jobs near you
Infographic showing various Medical Claims Negotiator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $46,198 per year, or $22.2 per hour.

Healthcare Claims Specialist - Provider Negotiations

Green Light Cost Management

Scottsdale, AZ • On-site

$23 - $25/hr

Full-time

Re-posted 16 days ago

Job description

Green Light is a growing healthcare technology company that helps health plans and healthcare providers resolve out-of-network medical claims fairly and efficiently.


We’re looking for a Healthcare Claims Specialist – Provider Negotiations to join our team. You’ll talk with healthcare providers by phone, review claims, negotiate reimbursement, and work toward claim resolution.


If you’re a strong communicator who enjoys problem-solving and working with people, this role offers the opportunity to build a career in healthcare claims and negotiations.


What You’ll Do

  • Talk with healthcare providers about medical claims and reimbursement.
  • Review claim details and negotiate resolutions.
  • Answer provider questions and explain reimbursement options.
  • Manage a high volume of claims and meet productivity and quality goals.
  • Document claim activity and outcomes accurately.
  • Work with internal teams to resolve claims.
  • Follow HIPAA and confidentiality requirements.


What You’ll Bring

  • 2+ years of experience in healthcare, insurance, billing, claims, collections, customer service, revenue cycle, or a similar role.
  • Strong communication and listening skills.
  • Confidence speaking with providers by phone throughout the day.
  • Good organization and attention to detail.
  • Comfort discussing financial and insurance information.
  • A professional, dependable, and solutions-focused approach.


Healthcare claims or negotiation experience is a plus, but not required. We provide training.


Why Green Light?

  • Competitive hourly pay
  • Performance-based bonus opportunities
  • Training and mentorship
  • Career growth opportunities
  • Supportive team environment
  • Meaningful work in a growing healthcare technology company


If you enjoy talking with people, solving problems, and finding fair solutions, we’d love to hear from you.