Copay Claims Processor
Core
Submit copay claims on behalf of patients and providers to manufacturer or foundation programs to improve financial outcomes and ensure timely treatment access.
Role type
Claims processing specialist (healthcare)
Builds
Patient support programs and financial navigation services for healthcare organizations
Domain
Healthcare / Insurance / Medical Billing (via careerplan.io/jobs/E5-009-3B-D6A-copay-claims-processor-at-tailormed)
Deliverable
client delivery
Required skills
Medical billing and coding, EMR and billing systems, insurance types knowledge, outbound calling, claim denial analysis, payment posting, record maintenance
Preferred skills
Financial navigation experience, remote work adaptability, fast-paced environment tolerance
Responsibilities
Review pending claims for accuracy, submit copay claims through appropriate channels, follow up on claims status, conduct outbound calls with manufacturer programs and customer revenue cycle departments, resolve claim discrepancies, post claim payments accurately, maintain accurate records
Seniority
Mid-level, hands-on IC