Claims Repricing Coordinator
Point C
full-time
Posted on:
Location Type: Remote
Location: Montana • United States
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Salary
💰 $15 - $17 per hour
About the role
- 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
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)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Soft Skills
attention to detailaccuracyorganizational skillstime-management skillsprofessional communication
Certifications
high school diplomaassociate’s degree