Prime Therapeutics - Oklahoma City, OK
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 and requires a high level of attention to detail to adhere to claims payment policies and the terms outlined in customer and provider contractual agreements. You will be responsible for adjudicating various types of claims and adjustments, resolving any claims edits or suspended claims that may arise during the processing phase. Additionally, you will maintain and update necessary reference materials to facilitate the adjudication process, ensuring that all claims are handled according to established guidelines. In this role, you will also provide backup support to other team members, assisting them in their job duties as needed. The fast-paced and dynamic work environment at Prime Therapeutics means that you will need to be adaptable and proactive in addressing the constant changes within the healthcare industry. Your contributions will directly impact the quality of care and service provided to our members, making this position both rewarding and essential to the organization's mission of helping people access the medications they need to live well. We are looking for individuals who are not only skilled in claims processing but also passionate about making a difference in the lives of others. If you are seeking to advance your career within a growing, team-oriented, and award-winning company, this is an excellent opportunity to join Prime Therapeutics and contribute to our mission.