Free Market Health is seeking a detail-oriented Claims Analyst to join its team onsite at its Pittsburgh headquarters. The role focuses on ensuring the accuracy, integrity, and timely processing of claims by monitoring clearinghouse activity, validating claims, identifying discrepancies, and helping resolve issues that affect payment accuracy and the overall claims experience.
The position supports healthcare claims operations within the specialty pharmacy ecosystem and works closely with internal teams to improve claims outcomes, revenue integrity, and the patient and client experience.
Requirements & Qualifications
Qualifications
- 2+ years of experience with healthcare claims and related transactions
- Knowledge of pharmacy billing, coding, or claims processing
- Experience working with X12 and NCPDP transaction formats
- Strong attention to detail and ability to manage significant claim volume and multiple priorities
- Clear communication skills and ability to collaborate with cross-functional teams
- Strong problem-solving skills with the ability to identify issues, determine root causes, and follow through to resolution
- Ability to handle sensitive healthcare information with professionalism and discretion
Nice to Have
- SQL knowledge or experience using data to research and resolve claims-related issues
- College degree preferred, but not required
Benefits & Perks
Benefits
- Generous PTO
- 100% employer-paid individual medical, dental, and vision premiums
- Employer HSA contribution
- Paid parental leave
- 401(k) match
- Transportation and parking benefits
- Flexible, collaborative work environment
Location
Pittsburgh, Pennsylvania, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago