Copay Claims Processor

TailorMed • New York, NY

7h

About The Position

The Copay Claims Processor is a member of the TailorMed Complete team and serves as an extension of our customer’s internal teams. This role helps improve financial outcomes for patients by using our platform to submit claims on the patient’s and provider’s behalf to the approved manufacturer or foundation copay program, and for our customers by helping them improve their financial performance as an organization.

Requirements

• 2+ years of experience in medical billing and coding, or financial navigation experience
• 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

Responsibilities

• Submit copay claims through appropriate channels and follow through to payment posting
• Work closely with our Financial Navigation team to ensure accurate and timely processing of claims
• Communicate with manufacturer copay programs and foundation copay programs to resolve any issues or discrepancies
• Communicate effectively with customer’s revenue cycle department to resolve any issues or discrepancies
• Maintain accurate records of all claims processed
• Meet productivity and quality standards

Benefits

• 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 - all effective from your first day of work
• 401(k) plan with a 4% employer match
• Paid holidays, vacation, and sick leave
• Six weeks of paid parental leave
• Company-paid life insurance
• New MacBook, plus all of the equipment and technology you’ll need to be successful in your role
• The opportunity to help shape the future of healthcare

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED