ZipRecruiter

Log In

1

Medical Negotiator Jobs in Springfield, MA (NOW HIRING)

IMI Norgren

Strategic Sourcing Manager

Palmer, MA · On-site

$95 - $115/hr

... the medical device and analytical instrumentation markets. Our products include electron ... Lead negotiations with suppliers to secure favorable terms and conditions, including pricing ...

New

IMI Norgren

Strategic Sourcing Specialist

Palmer, MA · On-site

$95 - $115/hr

... the medical device and analytical instrumentation markets. Our products include electron ... Lead negotiations with suppliers to secure favorable terms and conditions, including pricing ...

IMI plc

Strategic Sourcing Specialist

Palmer, MA · On-site

$95K - $115K/yr

... the medical device and analytical instrumentation markets. Our products include electron ... Lead negotiations with suppliers to secure favorable terms and conditions, including pricing ...

previous page

Showing results 41-60

All JobsMedical Negotiator JobsMedical Negotiator Jobs in Springfield, MA

Medical Negotiator information

See Springfield, MA salary details

$8

$37

$70

How much do medical negotiator jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for medical negotiator in Springfield, MA is $37.96, according to ZipRecruiter salary data. Most workers in this role earn between $23.70 and $45.05 per hour, depending on experience, location, and employer.

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

AspectMedical NegotiatorMedical Claims Specialist
Required credentialsCertification in healthcare or insurance, knowledge of medical billingCertification in medical billing or coding, understanding of insurance policies
Work environmentInsurance companies, healthcare providers, or third-party payersHospitals, clinics, insurance companies, or billing agencies
Employer and industry usageUsed in insurance negotiations and healthcare billing disputesUsed in processing and reviewing medical claims and billing

The Medical Negotiator primarily focuses on negotiating insurance claims and resolving billing disputes, often working directly with insurance companies and healthcare providers. In contrast, a Medical Claims Specialist handles the processing, reviewing, and coding of medical claims to ensure accurate billing. While both roles require knowledge of medical billing and insurance, the Medical Negotiator emphasizes negotiation skills, whereas the Claims Specialist concentrates on claims processing and compliance.

How to get a job as a medical negotiator?

To become a medical negotiator, candidates typically need a background in healthcare, insurance, or law, along with strong negotiation and communication skills. Relevant certifications, such as Certified Negotiation Expert (CNE) or healthcare-related credentials, can enhance prospects. Gaining experience through internships or entry-level roles in healthcare administration or insurance companies is also beneficial.

What is a medical negotiator?

A medical negotiator is a professional who works with healthcare providers, insurance companies, and patients to resolve billing disputes, negotiate medical costs, and ensure fair payment for medical services. They often have knowledge of healthcare policies, insurance procedures, and negotiation skills to help reduce out-of-pocket expenses and improve financial outcomes for clients.

What are popular job titles related to Medical Negotiator jobs in Springfield, MA?

For Medical Negotiator jobs in Springfield, MA, the most frequently searched job titles are:

What job categories do people searching Medical Negotiator jobs in Springfield, MA look for?

The top searched job categories for Medical Negotiator jobs in Springfield, MA are:

What cities near Springfield, MA are hiring for Medical Negotiator jobs?

Cities near Springfield, MA with the most Medical Negotiator job openings:

Medical Negotiator jobs near you

Sr Insurance Specialist - Commercial/Blue Cross

Valley Health Systems

Holyoke, MA • On-site

Full-time

Re-posted 18 days ago

Job description

Disclaimer for Job Postings

Note: The compensation range noted above represents the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range.

Holyoke Medical Center is looking for a Sr Insurance Specialist.  This position manages complex medical claims, acting as a subject matter expert to investigate, adjudicate negotiate settlements, ensure compliance and mentor junior staff, focusing on accurate and timely and cost-effective claims resolution while maintaining strong communication with providers, payers and internal teams. Works all claims as assigned/directed.

DUTIES AND RESPONSIBILITIES:

Serve as subject matter expert, providing guidance on policy, regulations and complex claims scenarios.
Conduct in-depth analysis, research discrepancies, prevent fraud and develop plans for claims resolution.
Handles escalated inquires, build relationships with providers/payers and communicate claims status.
Assist in training, coaching and provide senior support to less experienced team members.
Review and process complex hospital claims and determine coverage based on policy, medical necessity and contracts.
Able to work all aspects of Commercial Managed Care, Medicare Advantage, and Medicaid Advantage Care accounts sliding between Financial Classes as needed for Billing, Follow-up, Denials Management, Credit Balance and Account resolution.

Required Skills
Must show honesty, integrity, strong ethics, data entry skills and time management skills
Insurance follow up experience especially Blue Cross and all Commercial Lines
Strong understanding of Medetech and finThrive billing programs
Strong Verbal and written skills for preparing and presenting appeals, negotiating settlements and presenting reports to Senior Management.
Proactive approach to resolving discrepancies between insurance policy terms and provider charges
Ability to analyze complex data, identify issues and solve problems
Proven background in handling complex institutional or healthcare related claims
Proficiency with claims software and MS Office (especially Excel).
Strong time management, organization skills and ability to work independently or in a team
Good plus knowledge of ICS/HCPCS/CPT Coding and medical terminology
Knowledge of commercial, state and federal healthcare regulations
Excellent Math Skills and knowledge of general accounting principals
Ability to logically and accurately organize data
Excellent problem solving skills
Strong attention to detail
 

QUALIFICATIONS/JOB REQUISITES:

Education: High School Diploma or GED is required, an Associate or Bachelor’s degree in Health Administration or related Study preferred
Experience: Eight plus (8+) years in the health insurance, hospital business office or claims processing/management.

Apply