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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 ...

Valenz

Certified Medical Claims Auditor

Phoenix, AZ · Remote

As a Certified Medical Claims Auditor (Clinical Bill Review Analyst), you'll review claims upfront ... Collaborate with the Negotiation team to resolve more complex claim issues and secure additional ...

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 ...

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

Denver, CO · On-site +1

$18.25 - $24.75/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 · 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 ...

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 ...

Judi Health

Claims Adjudication Associate

Charlotte, NC · On-site +1

$17.25 - $23.50/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 ...

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 ...

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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 Jul 27, 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, and why are they important?

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.

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.
More about Medical Claims Negotiator jobs
What cities are hiring for Medical Claims Negotiator jobs? Cities with the most Medical Claims Negotiator job openings:
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Medical Claims Negotiator jobs near you
Infographic showing various Medical Claims Negotiator job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $46,198 per year, or $22.2 per hour.
Medical Claims Representative

Medical Claims Representative

Michigan Farm Bureau Family of Companies

Lansing, MI • On-site

$64K/yr

Full-time

Medical, Dental, Vision, Retirement

Posted 27 days ago

Job description

OBJECTIVE
Medical Claims Representative Objective
To provide efficient investigation, evaluation and negotiation of Michigan No-Fault claims.
RESPONSIBILITIES
Medical Claims Representative Responsibilities
Respond to and control the disposition of all assigned Michigan No-Fault claims.
Work with computer systems keying functions, including but not limited to letter composition, log entry, diary entry, report of investigation composition, and draft production.
Read and apply policy of Michigan No-Fault acts as written.
QUALIFICATIONS
Medical Claims Representative Qualifications
Required
Minimum two to three years medical claims handling experience required.
Must possess a valid driver license with an acceptable driving record.
Preferred
High school diploma or equivalent required. Bachelor's degree in business administration preferred.
Designation in claims insurance preferred.
Note: If a candidate is not selected, an Associate Medical Claims Representative position may be considered on the level of experience and qualifications. This position can be flexible working from personal residence within the state of Michigan.
Farm Bureau offers a full benefit package including medical, dental, vision, and 401K.
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