Jobs

Copay Claims Processor

TailorMed · United States · 2 mo ago
RemoteRemoteFull-time

Responsibilities

  • Ability to review pending claims thoroughly in detail to ensure accuracy
  • Submit copay claims through appropriate channels, including follow through to payment posting
  • Conduct timely follow up to check for claims status
  • Work closely with the Financial Navigation team to ensure accurate and timely processing of claims
  • Conduct outbound calls with manufacturer copay programs and foundation copay programs to resolve any issues or discrepancies
  • Conduct outbound calls effectively with customer’s revenue cycle department to resolve any issues or discrepancies
  • Post claim payments accurately and appropriately as received
  • Maintain accurate records of all claims processed
  • Maintain productivity and quality standards

Requirements

  • 2+ years of experience in medical billing and coding, or financial navigation experience
  • Ability to work effectively in a remote environment
  • Experience working within EMRs and Billing Systems
  • Experience working with insurance providers and healthcare organizations
  • Knowledge of all insurance types
  • Excellent communication and organizational skills
  • Ability to work well in a fast-paced environment
  • Willingness to adhere to and work during customer’s business hours
  • High school diploma or equivalent required

What we offer

  • Competitive salary + equity
  • Premium medical, dental, and vision insurance plans, a wide range of voluntary and supplemental benefits, and 24/7 benefits access and support
  • 401(k) plan
  • Paid holidays, vacation, and sick leave
  • Six weeks of paid parental leave
  • Company-paid life insurance
  • Company provided equipment and technology you’ll need to be successful in your role
  • The opportunity to help shape the future of healthcare

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