Medical Claims Pricing Specialist
A company is looking for a Medical Claims Pricing Specialist who excels in a fast-paced, team-oriented environment.
Key Responsibilities
Price medical claims based on multiple PPO provider contracts and fee schedules, and resolve pricing discrepancies
Navigate claims adjudication platforms and troubleshoot system issues
Review and interpret medical codes and documentation to ensure accurate pricing
Required Qualifications
Proficiency in QicLink with strong data entry and ten-key skills
Self-motivated with the ability to work independently
Proficiency in Microsoft Office Suite, including Word, Excel, and Outlook
High school diploma or GED required
Minimum 2-3 years of related experience in customer service or claims-related work