Claims Repricing Specialist

Collective Health(5 days ago)

HybridFull TimeSenior$21,786 - $33,699Claims Operations

About this role

Collective Health is looking for a Claims Repricing Specialist to handle the accurate calculation and validation of medical claims. The role involves interpreting contracts, configuring pricing systems, and collaborating cross-functionally to ensure payment accuracy and compliance in healthcare claims processing.

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Required Skills

CPT
HCPCS
DRG
APC
Fee Schedule
Repricing Tools
Claims Adjudication
Contract Interpretation
Healthcare Payment
Medical Billing

Qualifications

High School diploma
3-5 years healthcare claims experience

About Collective Health

collectivehealth.com

Collective Health is a healthcare benefits platform that provides an integrated solution for employers to administer self-funded health plans, manage costs, and support their people. It combines cloud-based plan administration, claims processing, data analytics, and care navigation to simplify benefits management and improve the member experience. Employers use Collective Health to increase transparency into spending, reduce waste, coordinate care, and deliver more personalized, concierge-style support to employees.

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