About usABOUT USClaimPay develops, licenses, and sells a range of medical products globally. We believe that the key to improving people’s health lies in innovation.OUR VISIONTo work with our clients to centralize, streamline and oversee certain administrative functions including PBM contract management and negotiations, accounts receivable collections, and cash management reporting.THE FUTURE IS BRIGHTOne of the strengths of the ClaimPay difference is decades of experience working with medical professionals, but the real difference maker is ClaimPay’s ability to integrate cutting edge technology into the ClaimPay workflow.HOW IT STARTED…ClaimPay was created to help medical practices and practitioners more effectively manage the process and to help ensure that they are paid on time while adhering to laws, rules, and guidelines surrounding the revenue generation process.ClaimPay was founded by Brian Ward who also founded DocRX.com.OUR PHILOSOPHY…Provide our clients with unmatched customer service, developing a balance between innovative smart technology and the finest medical billing staff in the industry.The Claims Account Specialist Representative is responsible for conducting follow-up on outstanding claims, gathering additional information requested, and basic billing functions, including claim corrections, resubmissions, and appeals. Meets department targets regarding productivity and claim resolution and re-submits claims as needed. Assisting with follow-up requests from payors and evaluating unresolved workers comp claims to facilitate resolution. CAS Representatives at Claimpay,
Inc. are a specific subset of collectors and specialize in all debts relating to Workman’s Compensations patients who receive in office dispensed medication.
The first step of a CAS Representative is to contact insurance companies and claim adjusters to verify the status of reimbursement on unpaid claims that are aged over 45 days. This is accomplished mainly via telephone contact and/or verification from Insurance Company Provider Portals. If a claim is denied, the CAS Representative will obtain the Explanation of Benefits from the Claims Adjuster, as well as prepare and submit the necessary appeal to obtain reimbursement. The CAS will assign a ‘Claim Status’ and provide ‘Notes’ in the billing software for all actions taken on a patients claim. The CAS will continue to monitor the claim until reimbursement is obtained, or determination of the claim is rendered non-compensable.
CAS Representatives are responsible for all functions related to the collection on patient claims. Duties are generally assigned on a primary basis, but all personnel are cross-trained and may perform functions in the various business segments.Primary Responsibilities
Qualifications
Key Competencies:
Claimpay, Inc. provided the following inclusive hiring information: We are an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.Job Type: Full-timePay: $14.00 – $16.00 per hourBenefits:
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