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.
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
Skills
- 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 Overview
Ametros, the industry leader in professional administration, transforms how injured individuals manage their healthcare after a settlement. It was founded in 2010, and is headquartered in Wilmington, MA, US, with a workforce of 51-200 employees. Its website is http://www.ametrosfinancial.com.
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