Copay Claims Processing Specialist

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