Pricing Specialist

Imagine360

2d • Remote

About The Position

Imagine360 is currently seeking a Pricing Specialist to join our team! This position is responsible for maintaining new and current provider and PPO information as well as ensuring the accuracy of repricing.
Position Location: 100% remote

Requirements

• High School Diploma or equivalent
• Minimum of one year of related experience.
• Work in a fast-paced environment.
• Working knowledge of computers and software including but not limited to Microsoft Office products.
• Demonstrated organizational, problem solving, and analytical skills as well as detail oriented.
• Strong written, telephonic, and oral communication skills
• Demonstrated ability to work independently, prioritize workloads, multi-task and manage priorities to meet deadlines.

Nice To Haves

• Experience in health insurance claims administration or related field preferred

Responsibilities

• Maintains appropriate turnaround times.
• Provides timely and professional communication with outside vendors.
• Validate and Maintain Provider Information.
• Work returned 1099s
• Proactively identifies the need to contact provider or PPO for additional or missing information as necessary.
• Researches repricing appeals from PPOs and providers.
• Reprices claims accurately and timely.
• Provides timely and thorough follow-up with internal and external customers.
• Recognizes and alerts appropriate leadership of trends or other anomalies and participates in the solutions.
• Perform all other duties as assigned.
• Completes HIPAA training annually.

Benefits

• Multiple Health Plan Options
• Company paid employee premiums for Dental, Vision, STA, & LTD, plus Life Insurance
• Parental Leave Policy
• 20 days PTO to start / 10 Paid Holidays
• Tuition reimbursement
• 401k Company contribution
• Professional development initiatives / continuous learning opportunities
• Opportunities to participate in and support the company's diversity and inclusion initiatives

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED