Point C · 5 hours ago
Repricing Coordinator- Springfield
Springfield, MO
Full-time
Onsite
New Grad, Entry Level
$16/hr - $17/hrPoint C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. The TPA Repricing Coordinator supports the claims and repricing team by reviewing medical claims, applying appropriate network discounts, and ensuring pricing accuracy in accordance with client contracts and plan guidelines.
Health CareHealth InsuranceHospital
Responsibilities
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
Qualification
Required
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
Preferred
Exposure to medical billing, insurance, or claims processing
Familiarity with CPT codes or medical terminology
Experience working in an office or administrative environment
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)
Company
Point C
Point C is a network of self-insured healthcare plan third-party administrators.
Founded in 2020
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Shore Capital Partners
2024-11-19Series Unknown
Leadership Team
Ben Frisch
Chief Executive Officer
William Mcnally, CPA
Chief Financial Officer
Recent News
Venture Capital Access Online
2024-11-21
2024-02-03
2024-01-04
Company data provided by crunchbase