Copay Claims Processing Specialist

Job Summary

A company is looking for a Copay Support/Claims Processing Specialist.

Key Responsibilities

• Manage inbound communications and troubleshoot claim issues related to copay programs
• Ensure quality control of commercial copay programs and collaborate with internal teams on discrepancies
• Act as a Subject Matter Expert for stakeholders regarding medical and pharmacy copay claims

Required Qualifications and Education

• High school diploma or GED, with related experience or training preferred
• Associate's Degree or equivalent experience in a related field is desirable
• Proficiency in Contract Management Systems and Microsoft Office
• Experience with Pharmacy Data Management (PDMI) and PNC Card Platform
• Ability to handle sensitive patient and prescriber information securely