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Health Care Service is Hiring a Pricing Analyst Near Tulsa, OK
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Job SummaryThis position is responsible for pricing Live Production Claims in a timely manner that are routed into Pricing Claim Queues from The Claim Processing System. These include all claim Types, EG Inpatient, Outpatient, and Professional and are also for all product lines to Include Fep, Bluelincs Hmo, Aso, Local, And Bluecard. This role will also manage Specialty or Contested Claims to ensure the accuracy of fee schedules and pricing. Additionally Identifying pricing issues and appropriately presenting to management for resolution. Updating various databases used by the department to manage reporting issues and collaborating with claims area on misrouted training opportunities. Additional duties as assigned including, but not limited to audit cross training and back-up.JOB REQUIREMENTS:
*Associate's degree in a health related field, business, computer science or social sciences, or substitute two years of experience in health claims processing for each year of college not completed.
*4 years' experience in health insurance claims, claims systems.
*Knowledge of and experience in the use of HCPCS/CPT4, ADA
*ASA coding structures and customer service.
*Knowledge of AMA, BCBSA and HCFA coding guidelines.
*Internal plan claims coding guidelines and policies.
*Knowledge of mainframe computer access, applications, and tools.
*Experience using MS Office and mathematical skills
PREFERRED JOB REQUIREMENTS:
*Knowledge of fee schedules, reimbursement mechanisms and rates.
*Knowledge of Provider Contracts and Microsoft Excel.
*PREMIER Pricing system and Pricing Strategies.
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HCSC Employment Statement:HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Job Summary
Full Time
Business Services
$66k-81k (estimate)
04/27/2024
06/26/2024
healthcareservicesgroup.com
BENSALEM, PA
100 - 200
Private
$10M - $50M
Business Services
Related Companies
The job skills required for Pricing Analyst include Pricing, etc. Having related job skills and expertise will give you an advantage when applying to be a Pricing Analyst. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Pricing Analyst. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Pricing Analyst positions, which can be used as a reference in future career path planning. As a Pricing Analyst, it can be promoted into senior positions as a Competitive Pricing Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Pricing Analyst. You can explore the career advancement for a Pricing Analyst below and select your interested title to get hiring information.
If you are interested in becoming a Pricing Analyst, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Pricing Analyst for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Pricing Analyst job description and responsibilities
Pricing analysts understand business trends and market values for the products and services their organizations offer.
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Pricing analysts help determine what prices to set and whether current rates need adjustment.
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Pricing analysts conduct research to learn the history of the product and previous market trends.
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Pricing analysts collaborate with organizations that employ some form of a recurring revenue model to test various hypotheses about the efficacy of existing and proposed business models, pricing and packaging structure, and general market behavior.
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Heavily quantitative role focused on guiding management through developing pricing policies.
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Pricing Analyst jobs
Details such as revenues, market share, strategies, growth rate, product & their pricing by region/country for all major companies.
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Students and new graduates can usually gain the necessary experience through a junior pricing analysis or finance position.
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Use pricing models to measure product profitability.
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Undertake ad-hoc pricing analysis as required by superiors.
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Therefore, to better understand changing price points, businesses should conduct new pricing-sensitivity study and market price tests right away.
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Step 3: View the best colleges and universities for Pricing Analyst.
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