Prudentrx Claims Specialist

PrudentRx

Not specified; not specified; health, dental, visi...
On-site
Review and analyze claims for billing errors
Verify co-pay card fund availability
Maintain knowledge of cob and payer rules
PrudentRx is hiring a Claims Specialist who is detail-oriented and excels in a structured work environment. The role involves verifying and validating claims data, ensuring accuracy throughout the implementation lifecycle while upholding the company's core values

Job Summary

  • The Claims Specialist plays a critical role in ensuring client and member data is processed accurately, efficiently, and securely throughout the entire implementation lifecycle.
  • Responsibilities include reviewing claims to identify improper billing to the COB plan and monitoring that co-pay cards are utilized and billed properly.
  • The position offers comprehensive benefits including health, dental, vision, STD, LTD, critical illness, accident insurance, company-paid life insurance, and a 401(k) with a 100% company match up to 4%.

Matching Summary

Match Score: 85

PrudentRx is hiring a Claims Specialist who is detail-oriented and excels in a structured work environment. The role involves verifying and validating claims data, ensuring accuracy throughout the implementation lifecycle while upholding the company's core values.

Salary

Not specified; Not specified; Health, Dental, Vision, STD, LTD, Critical Illness, Accident, Life Insurance, 401(k) match up to 4%

Skills & Requirements

Must-have

  • Review and analyze claims for billing errors
  • Verify co-pay card fund availability
  • Maintain knowledge of COB and payer rules

Nice-to-have

  • Detail-oriented professional with sound judgment
  • Ability to work effectively with various people
  • Experience in medical facility billing office

Key Requirements

  • Minimum 1 year employment with PrudentRx
  • Proficiency in Word, Excel, and Outlook required
  • Flexible ability to manage multiple tasks

Work Rights

Not specified

Tailored Resume

Cover Letter