Healthcare Claims Data Analyst — Revenue Integrity

Free Market Health; Pittsburgh (Allegheny County); On-site; USD 55,000 - 85,000; Full time

Benefits offered by this job

Generous PTO

100% employer-paid individual medical,

dental, and vision premiums

Employer HSA contribution

Paid parental leave

401(k) match

Transportation and parking benefits

Flexible, collaborative work enviro n

Job summary

Free Market Health is seeking a detail-oriented Claims Analyst to join our team onsite at our Pittsburgh Headquarters. You will monitor claims clearinghouse activity, validate claims, identify discrepancies, and help resolve issues affecting payment accuracy and the overall claims experience.

You’ll collaborate with Pharmacy Operations and Client Services to answer questions, monitor trends, and maintain HIPAA-compliant handling of healthcare data while contributing to timely, accurate claim

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 multiple priorities.
• Clear communication and collaboration across teams.
• Sound problem-solving skills and HIPAA compliance.

Responsibilities

• Review and reconcile claims submitted through the claims clearinghouse to confirm receipt by payers.
• Review claims for payment accuracy based on processing rules.
• Identify denied or inaccurately paid claims and support follow-up and resolution.
• Partner with Operations, Client Services, and other teams to answer claim questions.
• Monitor daily claims activity and identify issues or process gaps.
• Support revenue integrity and a high-quality client/patient experience.
• Maintain confidentiality of sensitive health information per HIPAA.
• Assume additional responsibilities to support team priorities.

Skills

Healthcare claims

Pharmacy billing

X12

NCPDP

Attention to detail

Communication

Problem solving

HIPAA compliance

Education

College degree preferred

Tools

SQL

Job description

Free Market Health is seeking a detail-oriented Claims Analyst to join our team onsite at our Pittsburgh Headquarters. You will monitor claims clearinghouse activity, validate claims, identify discrepancies, and help resolve issues affecting payment accuracy and the overall claims experience.

You’ll collaborate with Pharmacy Operations and Client Services to answer questions, monitor trends, and maintain HIPAA-compliant handling of healthcare data while contributing to timely, accurate claim