Medical Benefit Claims Specialist – Copay Programs

Valeris; United States; On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical, dental and vision plans

Paid Time Off and Sick Leave

401(k) with company match

Job summary

Valeris is looking for a dedicated Medical Claims Specialist to manage medical benefit copay programs, providing exceptional service to provider offices. The role involves addressing inquiries, troubleshooting claim issues, and working closely with vendors to resolve escalations.

The ideal candidate will have at least 5 years of relevant experience, strong communication skills, and a solid understanding of the medical claims process. This position offers comprehensive benefits including health plans, a 401(k) match, and opportunities for advancement.

Qualifications

• Minimum of 5 years of experience in customer service or medical claims.
• Strong understanding of medical claims workflows and rejection troubleshooting.
• Ability to communicate effectively both verbally and in writing.

Responsibilities

• Manage day-to-day activities of multiple medical benefit copay programs.
• Serve as focal point for escalations in medical claims.
• Assist provider sites with inquiries and troubleshooting.

Skills

Customer service

Medical claims processing

Problem-solving

Communication skills

Interpersonal skills

Education

Associate or Bachelor’s degree

Tools

Microsoft Excel

Job description

Valeris is looking for a dedicated Medical Claims Specialist to manage medical benefit copay programs, providing exceptional service to provider offices. The role involves addressing inquiries, troubleshooting claim issues, and working closely with vendors to resolve escalations.

The ideal candidate will have at least 5 years of relevant experience, strong communication skills, and a solid understanding of the medical claims process. This position offers comprehensive benefits including health plans, a 401(k) match, and opportunities for advancement.