Ametros · 16 hours ago
Associate, Claims Receipt Processor
Ametros is transforming healthcare navigation by equipping individuals with essential tools and support for managing their medical funds. The Claims Receipt Processor is responsible for ensuring timely and accurate reimbursements of receipts submitted by members, requiring strong communication skills to explain coverage and collaborate with the claims team.
Insurance
Responsibilities
Responsible for reviewing receipt submissions for required information
Outreach to providers, pharmacies, and members to obtain additional information as needed
Reviewing settlement documentation to determine whether a receipt is reimbursable
Keying in the necessary information to create a claim
Explaining coverage determinations to members while maintaining a pleasant and helpful demeanor
Maintain the expected turnaround time for processing receipts
Performing other clerical tasks, as required
Demonstrates a commitment to service by consistent attendance and punctuality
Qualification
Required
Proficient in MS Office
Excellent critical thinking and decision-making skills
Good administrative and organizational skills
Excellent written and verbal communication skills with ability to adapt communication style depending on audience
Meticulous attention to detail
Familiar with the language of medical billing, Medicare guidelines and/or workers' compensation
Ability to work independently and as part of a team
H.S. Diploma or General Education Degree (GED) required
0-2 years experience as a Claims Processor or in a related role required
Benefits
This position is eligible for incentive compensation
Company
Ametros
Ametros, the industry leader in professional administration, transforms how injured individuals manage their healthcare after a settlement.
Funding
Current Stage
Growth StageRecent News
2023-12-16
Business Wire
2023-09-06
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