Prime Therapeutics - Topeka, KS
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 any claims edits or suspended claims, and maintaining up-to-date reference materials necessary for effective claims adjudication. You will also provide backup support to your team members as needed, fostering a collaborative work environment. In this fast-paced and dynamic role, you will be expected to utilize your skills in claims processing to meet the demands of a constantly evolving healthcare landscape. The position requires a high level of attention to detail and adherence to claims payment policies, as well as compliance with customer and provider contractual agreements. Your contributions will directly impact the quality of care and service provided to our members, making this a rewarding opportunity for those looking to make a difference in the healthcare industry. Prime Therapeutics values its employees and encourages a culture of empowerment and recognition. As part of our team, you will be involved in initiatives that promote collaboration and innovation, ensuring that we continue to provide the highest quality of service to our members. If you are passionate about healthcare and looking to advance your career in a supportive and growth-oriented environment, this position may be the perfect fit for you.