Job Title: Medical Bill Negotiator
Job Summary: As the Medical Bill Negotiator, you will achieve medical cost savings on behalf of OccuNet's clients and members through initiating, negotiating, and executing single case agreement contracts with providers, while building a mutually beneficial relationship with providers.
About The OccuNet Company (TOC): The OccuNet Company is an innovative healthcare cost‑containment organization committed to improving access to affordable, high‑quality healthcare. We pride ourselves on an outward‑mindset culture that values empathy, respect, and seeing one another as whole people. Our team thrives in a fast‑paced, growth‑oriented environment where continuous learning and collaboration drive our success.
What it's Like to Work Here: At OccuNet, you matter like we matter! Our team members share a positive attitude, an outward mindset, problem-solving abilities, and patience, enabling them to provide excellent customer service even during challenging situations. Our culture, plus continuous opportunities for growth, has resulted in an industry-low turnover rate. Don't miss out on this rare opening with us!
A Day in the Life:
As a Medical Bill Negotiator, you will:
- Make outbound calls to providers and build relationships to listen and gather information, as well as negotiate over the phone.
- Answer incoming calls from providers daily and be able to notate the call in detail and provide an educated and prompt response.
- Attend training and team meetings to stay current on workflows, tools, and plan updates.
- Maintain great communication with your team, your team lead, as well as providers and clients.
- Own the end-to-end negotiation-from initial call to considering concerns of the provider and the client, ensure timing follow ups, documentation and clear thought process.
- Be open to coaching even after training, and difficult conversations with providers to find ways to maintain relationships and great discounts.
Duties & Responsibilities:
- Identify and act on opportunities to grow Alliances by actively identifying providers with multiple single case agreements and referring them to the Alliance team.
- Rigorously approach complex negotiations of reimbursement rates, payment structures, and term changes to maintain and build best-in-class single case agreements with providers.
- Facilitate and initiate enhancements to contracting and negotiation processes for single case agreements.
- Provide direction and assist in developing national and local network strategies by identifying value-capture opportunities.
- Collaborate cross functionally with internal and external stakeholders to improve internal systems and procedures to meet client needs.
Industry Expertise & Skills:
- Deep expertise in hospital, ancillary, and professional reimbursement rate for single case agreements across all lines of business.
- Foundational understanding of medical cost containment products including but not limited to reference-based pricing, out-of-network, and pharmacy benefits manager solutions.
- Knowledge in medical billing including CPT and ICD 10 coding.
- Deep contracting and negotiation skills, including but not limited to contract preparation and implementation, financial analysis, and rate proposal development.
- Knowledge of provider groups in geographic areas as well as interrelationships across the competitive landscape.
Operational Excellence
- Strong networking ability and proficiency in establishing relationships and evaluating partnership opportunities.
- Ability to solve problems and manage multiple priorities in a fast-paced environment.
- Excellent communication skills, written and verbal, with the ability to adapt appropriately for different audiences.
- Passionate about contributing to an organization focused on continuously improving consumer experiences.
- Focused on thoughtfully supporting other team members and clients.
- Team-oriented mindset with a high level of motivation and drive.
- Maintain confidentiality of all sensitive information.
Required Skills & Qualifications
- High school diploma or equivalent required.
- Associate or bachelor's degree preferred.
- 2 years or more years' experience negotiating single case agreement terms and rates either in value-based contracting or reference-based contracting with hospitals, provider groups, or ancillary medical providers (preferred).
- Experience developing and managing hospital or provider group relationships and instituting partnerships (preferred).
Success Indicators
- Build and maintain strong provider relationships over the phone, delivering a high-quality experience grounded in trust, clear communication, and understanding—while remaining firm and direct when needed.
- Timely and accurate call and decision-making documentation and workflow adherence.
- Ability to professionally overcome provider resistance.
- Strong cross-functional collaboration.
- Sound judgment, composure and reliability under pressure.
- Ownership and follow-through on all assigned cases.
- Exercises initiative while staying aligned with management.
Working Environment
- Prolonged periods sitting or standing at a desk, working on a computer.
- Full-time, Monday through Friday, on-site in Amarillo, TX.
- Frequent balancing of urgent inquiries, calls, and detailed research.
- Highly collaborative environment with emphasis on communication, teamwork, and adaptability.
- Culture built around mindfulness, problem‑solving, and "outward mindset" principles.
Ready to apply? If this job sounds like a fit for you, then click on the 'apply' button below. Good luck!
