Healthcare Claims Analyst — Data Integrity & Payments

Rippling, Inc.; Pittsburgh (Allegheny County); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Generous PTO

100% employer-paid individual medical,

vision premiums

Employer HSA contribution

Paid parental leave

401(k) match

Transportation and parking benefits

Flexible, collaborative work环境

Job summary

Free Market Health is seeking a detail-oriented Claims Analyst to join our Pittsburgh headquarters onsite. You’ll ensure accuracy, integrity, and timely processing of healthcare claims, monitor clearinghouse activity, validate claims, and help resolve issues that affect payment accuracy and the overall claims experience.

You’ll collaborate with Pharmacy Operations, Client Services, and other teams, review claims for payment accuracy, and identify denials or inaccuracies.

Qualifications

• 2+ years of experience with healthcare claims and related transactions.
• Knowledge of pharmacy billing, coding, or claims processing.
• Experience working with X12 and NCPDP transaction formats.
• Strong attention to detail and ability to monitor significant claim volume while managing multiple priorities.
• Clear communication skills and the ability to work collaboratively with cross-functional teams.
• Ability to handle sensitive healthcare information with professionalism and discretion.

Responsibilities

• Review and reconcile claims submitted through the claims clearinghouse to confirm successful receipt by payers.
• Review claims for payment accuracy based on applicable processing rules.
• Identify denied, rejected, or inaccurately paid claims and support timely follow-up and resolution.
• Partner with Pharmacy Operations, Client Services, and other internal teams to answer claim-related questions and communicate when action is needed.
• Monitor daily claims activity and proactively identify issues, trends, or process gaps that may impact accuracy or operational performance.
• Support accurate claims outcomes, revenue integrity, and a high-quality experience for clients and patients.
• Maintain confidentiality and protect sensitive healthcare information in accordance with HIPAA and company expectations.
• Take on additional responsibilities as needed to support the team and business priorities.

Skills

Healthcare claims

Attention to detail

Communication

Problem-solving

Discretion

Education

College degree preferred

Tools

SQL

X12

NCPDP

Job description

Free Market Health is seeking a detail-oriented Claims Analyst to join our Pittsburgh headquarters onsite. You’ll ensure accuracy, integrity, and timely processing of healthcare claims, monitor clearinghouse activity, validate claims, and help resolve issues that affect payment accuracy and the overall claims experience.

You’ll collaborate with Pharmacy Operations, Client Services, and other teams, review claims for payment accuracy, and identify denials or inaccuracies.