Copay Assistance Clerk

About the role

AmeriPharma is a highly rated closed-door pharmacy dedicated to providing quality long-term pharmacy care at home. Our family of brands includes CorsanaCare, AmeriPharma Infusion Centers, AmeriPharma Specialty Care, and MedBox, designed specifically for seniors. We are seeking candidates who wish to grow their careers in a supportive and transparent environment where efforts are recognized.

Responsibilities

• Generate and prepare CMS-1500 claim forms for submission to copay assistance programs, payors, and other reimbursement entities.
• Contact payors, copay card vendors, and reimbursement support programs to obtain claim, payment, and denial status updates.
• Document account activity, claim status, and follow-up actions accurately within applicable systems.
• Absorb payment tracking, reconciliation, and identify outstanding balances or unresolved claims.
• Support copay billing operations related to specialty pharmacy and home infusion services.
• Maintain organized records and ensure supporting documentation is complete and compliant.
• Collaborate with Revenue Cycle teams to resolve billing-related issues.
• Assist with administrative tasks including faxing, scanning, data entry, correspondence, and reporting as assigned.
• Escalate reimbursement concerns, trends, or unresolved issues to the FA leadership team appropriately.

Qualifications

• A high school diploma or equivalent required.
• Strong attention to detail and organizational skills.
• Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
• Effective verbal and written communication skills.
• Proficient in Microsoft Office applications and basic data entry functions.
• Ability to work independently and collaboratively within a team environment.

Preferred Qualifications

• Knowledge of CMS-1500 claim forms, insurance terminology, and reimbursement processes preferred.
• Minimum 1 year of administrative, medical billing, pharmacy billing, or healthcare reimbursement experience preferred.
• Experience in specialty pharmacy, home infusion, medical billing, or copay assistance programs strongly preferred.

Physical Requirements

• The physical requirements for this role include constant sedentary work that primarily involves sitting/standing;
• ability to hear, see and speak;
• type and write, repeating motions that may include the wrists, hands and/or fingers.
• Must be physically able to operate a computer and other office productivity machinery (i.e., a calculator, copy machine, printer);
• constantly communicate with colleagues and clients including via telephone and email.
• Must be able to lift up to 15 pounds at times.

Reasons to Apply

• AmeriPharma values diversity in its workforce and is proud to be an AAP/EEO employer.
• All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, age, protected veteran status, or on the basis of disability or any other legally protected class.