Pricing Resolution Processor II

MedReview is seeking a Pricing Resolution Processor II to join its Payment Integrity Operations team, responsible for reviewing, grouping, and pricing routine healthcare facility claims to identify potential overpayments and ensure reimbursement accuracy. The role involves applying client-specific reimbursement methodologies, payer requirements, and regulatory guidelines to support accurate and timely claim pricing decisions in a high-volume environment. This remote position requires strong analytical skills, attention to detail, and the ability to evaluate claim information while maintaining compliance with reimbursement policies.