Copay Claims Specialist

3 days ago


Henderson, Nevada, United States Paysign Inc Full time
About the Role
Paysign Inc is currently hiring a Copay Claims Specialist to join our team. This role involves working with medical copay claims to ensure they are processed accurately and efficiently. As a Copay Claims Specialist, you will be responsible for reviewing and validating claims, ensuring all necessary documentation is included, and identifying opportunities for process improvement.

We are looking for a highly organized and detail-oriented individual who has experience working with medical billing software and has a strong understanding of medical coding. The ideal candidate will also have excellent communication and interpersonal skills, with the ability to work effectively with internal teams and external clients.

Key Responsibilities:
  • Review and validate medical copay claims for completeness and accuracy.
  • Ensure all required documentation is included and meets client and regulatory standards.
  • Accurately input claim data into the billing system or electronic health records platform.
  • Navigate and utilize various software applications to process claims efficiently.
  • Apply knowledge of medical coding to ensure accurate benefit is provided.
  • Investigate and resolve discrepancies or issues related to claims, including coding errors, eligibility concerns, rejections, and business rules disputes.
  • Identify opportunities for process improvement and contribute to the development of best practices.

Requirements:
  • Excellent written and oral skills.
  • Computer literacy and keyboard typing skills.
  • Proficiency in Microsoft Office Suites.
  • Ability to work independently and as part of a team in a fast-paced environment.
  • Problem-solving skills and the ability to handle challenging situations with professionalism and empathy.
  • Bilingual preferred – English/Spanish.

Salary Range:$65,000 - $85,000 per year.

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