Prime Therapeutics - Bismarck, ND
posted about 2 months ago
As a Claims Processor at Prime Therapeutics, you will play a crucial role in ensuring that claims are processed accurately and in a timely manner. This position is fully remote, allowing you to work from the comfort of your home while contributing to a mission that helps people access the medications they need to improve their health and well-being. Your responsibilities will include adjudicating various types of claims and adjustments, resolving claims edits, and managing suspended claims. You will also be responsible for maintaining and updating the necessary reference materials to facilitate the claims adjudication process. In addition, you will provide backup support to your team members as needed, ensuring that the workflow remains uninterrupted and efficient. The role requires a high level of attention to detail and adherence to claims payment policies, as well as compliance with customer and provider contractual agreements. You will be expected to utilize your skills in processing claims with precision, which is essential in the fast-paced and dynamic environment of the healthcare industry. Your contributions will directly impact the quality of care and service provided to our members, making this position both rewarding and significant. At Prime Therapeutics, we value our employees and encourage a collaborative work environment where new ideas are welcomed. We are committed to empowering our team members and recognizing their achievements, which fosters a culture of growth and development. If you are looking to advance your career in a supportive and innovative company, this position offers an excellent opportunity to make a meaningful difference in people's lives.