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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