Copay Claims Processor

This is a fully remote position, open to applicants in United States.

📋 Description

• Demonstrated ability to meticulously review outstanding claims to ensure precision.

• Process copay claims through designated channels, including diligent follow-up for payment posting.

• Perform timely follow-ups to ascertain claims status.

• Collaborate closely with the Financial Navigation team to guarantee accurate and prompt claims processing.

• Analyze claim denials and effectively assess next steps.

• Make outbound calls to manufacturer copay programs and foundation copay programs to address any issues or discrepancies.

• Engage in effective outbound communications with the customer's revenue cycle department to resolve any issues or discrepancies.

• Accurately post claim payments as they are received.

• Maintain precise records of all processed claims.

• Achieve productivity and quality benchmarks.

⛳️ Requirements

• Minimum 2 years of experience in medical billing and coding, or in financial navigation.

• Capability to work efficiently in a remote setting.

• Familiarity with EMRs and Billing Systems.

• Experience collaborating with insurance providers and healthcare organizations.

• Comprehensive knowledge of various insurance types.

• Outstanding communication and organizational capabilities.

• Ability to thrive in a fast-paced environment.

• Willingness to adhere to and work during the customer's business hours.

• High school diploma or equivalent is mandatory.

• Workspace must be quiet and capable of handling PHI in a secure manner.

🏝️ Benefits

• Competitive salary plus equity.

• Comprehensive medical, dental, and vision insurance plans, along with a variety of voluntary and supplemental benefits, and 24/7 access to benefits support.

• 401(k) retirement plan.

• Paid holidays, vacation, and sick leave.

• Six weeks of paid parental leave.

• Company-paid life insurance.

• Provision of necessary equipment and technology to ensure success in your role.

• An opportunity to contribute to the future of healthcare.