Our client is seeking a detail-oriented Medical Claims Pricing Analyst to help ensure healthcare claims are processed accurately and in accordance with established pricing agreements, fee schedules, and contractual requirements. This role is ideal for someone who enjoys analytical work, problem-solving, and working with complex healthcare billing information to ensure fair and accurate claim payments.
In this position, you will review medical claims, apply appropriate pricing methodologies, investigate billing discrepancies, and support the overall integrity of the claims process. The successful candidate will have a strong understanding of medical billing and coding, excellent attention to detail, and the ability to navigate complex reimbursement guidelines.
This position is 20 hours a week.
You will help ensure claims are processed accurately by reviewing pricing, investigating discrepancies, and supporting claim adjudication.
High school diploma or GED required.
Related coursework or certifications in medical billing, coding, or healthcare administration are a plus.
1 to 3 years of experience in medical claims processing, health insurance, medical billing, or revenue cycle operations.
Strong knowledge of CPT, ICD-10, and healthcare billing terminology.
Familiarity with provider contracts, fee schedules, and reimbursement methodologies.
Proficiency with claims processing systems, databases, and Microsoft Excel.
Excellent analytical, organizational, and problem-solving skills.
Ability to work independently while maintaining a high level of accuracy and attention to detail.
Location
Nevada, US
Employment Type
Temporary
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago