Point C

At Point C Health, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business—and our society—stronger. Point C Health is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.

Claims Repricing Coordinator

Pricing AnalystPricing AnalystFull TimeRemoteTeam 201-500H1B No SponsorCompany SiteLinkedIn

Location

Missouri

Posted

25 days ago

Salary

$15 - $17 / hour

High SchoolEnglish

Job Description

• Review and reprice medical claims using contracted provider network rates • Apply appropriate discounts based on PPO, rental networks, and client agreements • Validate billed charges against fee schedules and contract terms • Identify pricing discrepancies and escalate issues when necessary • Communicate with internal teams regarding claim status and pricing questions • Maintain accurate documentation and notes within claims systems • Meet productivity and accuracy standards • Follow HIPAA and data privacy guidelines at all times

Job Requirements

  • High school diploma or equivalent required; associate’s degree or coursework in healthcare, business, or related field a plus
  • No prior healthcare or claims experience required (training provided)
  • Strong attention to detail and accuracy
  • Basic computer skills and comfort using multiple systems
  • Ability to interpret contracts and follow written guidelines
  • Good organizational and time-management skills
  • Professional written and verbal communication skills

Benefits

  • Comprehensive medical, dental, vision, and life insurance coverage
  • 401(k) retirement plan with employer match
  • Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
  • Paid time off (PTO) and disability leave
  • Employee Assistance Program (EAP)

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