Job Description - Healthcare Claims & Provider Services Specialist I
About Green Light
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 healthcare or claims experience is required. Training is provided. Candidates with relevant experience may take on more advanced responsibilities.
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 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 to learn new processes and terminology
Comfortable 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 strong transferable skills and a willingness to learn are equally valued.
If you're ready to learn, contribute, and grow, we'd love to hear from you.
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