(Remote – U.S.)
🧾 About the Role
MultiPlan is hiring a Medical Claims Resolution Specialist II to negotiate healthcare claims and deliver maximum cost savings for clients. You’ll handle complex claims, build provider relationships, and use smart negotiation to secure discounts. If you’re skilled at managing high-volume queues and navigating provider dynamics, this is your lane.
✅ Position Highlights
• $20–$24 per hour
• Full-time, remote (U.S. only)
• Eligible for bonuses, health insurance, 401(k), and tuition reimbursement
• Up to 40% phone time with providers
• Diverse clients and claim types (auto, workers’ comp, and more)
📋 What You’ll Own
• Contact providers to negotiate claim discounts and agreements
• Handle escalations, counteroffers, and challenging negotiations
• Analyze claim data and document resolutions thoroughly
• Collaborate with internal teams and clients across departments
• Maintain and meet departmental performance and client deadlines
• Keep provider information updated to streamline future claims
• Ensure HIPAA compliance and protect sensitive health data
🎯 Must-Have Traits
• High school diploma or GED (college a plus)
• 2+ years in healthcare, insurance, or related field (billing, coding, collections, etc.)
• Knowledge of CPT, ICD-10, or revenue codes is helpful
• Excel and MS Office proficiency
• Strong communication and negotiation skills
• Licensed adjuster (P&C or NY Health) may be required; must obtain within 6 months if notified
• Ability to work independently, hit deadlines, and manage a high-volume workload
• Detail-driven with sharp math and documentation habits
💻 Remote Requirements
• U.S.-based only
• Must have access to a quiet, secure workspace and high-speed internet
• Comfortable working on-screen for extended periods in a home office setup
💡 Why It’s a Win for Remote Job Seekers
• Competitive compensation with room for growth
• Flexible scheduling and generous PTO
• Team-first culture with strong leadership and support
• Paid parental leave, tuition help, and summer hours
✍️ Call to Action
If you’re a sharp negotiator with healthcare know-how and the hustle to match, this is your next move. Join MultiPlan and be part of the team that’s redefining cost-saving in healthcare—one claim at a time.