Copay Claims Processor
TailorMed · United States · 1 wk 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