Repricing Associate (Temporary)

Berkshire Hathaway Direct Insurance Company; United States; Remote; USD 33,000 - 40,000; Full time

Job summary

Berkshire Hathaway Direct Insurance Company seeks a Repricing Associate (Temporary) to support billing data entry, code verification, and reconsideration submissions. This remote role can be located anywhere in the United States and reports to the Workers’ Compensation Claims Manager.

The position lasts through Q2 2027, with a pay range of $24-$29 per hour. Candidates should have medical billing experience, strong attention to detail, and the ability to work independently in a virtual

Qualifications

• Understanding of billing and coding procedures and medical terminology.
• Ability to meet turnaround times and state law requirements in Medical Bill Repricing.
• Ability to prepare comprehensive reports with little guidance.
• Remote work capability with reliable internet.

Responsibilities

• Data entry of billing and Medicare reporting while verifying ICD-10 and CPT-4 codes.
• Research, respond, and track inquiries to ensure compliance with state laws.
• Handle EDI claim rejections and apply manual repricing as needed.
• Process reconsiderations and appeals with vendors and provider networks.
• Research provider reimbursement inquiries and process requests.
• Participate in PPO Network and vendor oversight calls/meetings.
• Cross train on all provider network tasks within the department.
• Perform other duties as assigned.

Skills

Medical billing

Data entry

Attention to detail

Communication

Remote work

Education

College degree or college level education preferred

Tools

MS Word

Excel

Outlook

Teams

Slack

Zoom

Internet applications

Job description

All Jobs > Repricing Associate (Temporary)

Full-time

Description

The Repricing Associate will be responsible for data entry of billing information, verification of ICD-10 and CPT-4 codes and submission of reconsiderations. The Repricing Associate will report to the Workers’ Compensation Claims Manager.

This is a remote position and can be located anywhere in the United States.

This is a temporary position expected to last through Q2 of 2027.

Job Responsibilities

• Duties are not limited to the below and will expand over time.
• Responsible for data entry of billing and Medicare reporting while verifying ICD-10 and CPT-4 codes
• Research, respond and track inquiries in a timely manner to ensure compliance with state laws
• Handle Electronic Data Interchange (EDI) claim rejections and apply manual repricing as needed
• Process and administer reconsiderations and appeals while working with vendors and provider networks
• Research issues with provider returned checks, research provider reimbursement inquires and process these requests
• Participate in PPO Network and vendor quarterly oversight calls/meetings
• Cross train on all provider network tasks within the department
• Perform other duties as assigned

Requirements

Qualifications

Knowledge, Skills & Abilities:

• A thorough understanding of billing and coding procedures and a solid understanding of medical terminology
• Ability to work within turnaround time standards and state law requirements and implement them in the Medical Bill Repricing process
• Must be able to prepare comprehensive reports with little guidance
• Candidates must have the ability to work remotely and have strong computer experience
• High Level of Proficiency: excellent verbal/written communication, attention to detail and multi-tasking
• Approaches change as an opportunity for growth and development
• Ability to navigate multiple systems and screens simultaneously.
• Ability to work both independently and collaboratively within a virtual office environment
• Must have reliable internet
• Self-motivated and flexible
• Ability to independently manage workload, including prioritizing, and managing assignments to meet deadlines
• Proficiency with MS Word, Excel, Outlook, Teams, Slack, Zoom and internet applications

Education:

• College degree or college level education preferred

Experience:

• Candidates must have experience in a medical billing environment
• Familiar with Medicare/CMS requirements
• Coding Accreditations are a bonus

In accordance with pay transparency laws and regulations, the following good faith compensation range estimate is being provided. The salary range for this position is $24 - 29 per hour. Final compensation will be based on candidate qualifications, geographic location, and other considerations permitted by law.