Copay Claims Processor

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
Claim denial review and understanding in how to evaluate for next steps
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
Meet 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
Workspace clear of noise and ability to work with PHI in a secure setting

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