Claims Receipt Processor

Description

Ametros is changing the way individuals navigate healthcare by providing them with the tools and support necessary to make educated decisions on how to spend their medical funds. Ametros' team works closely with patients, insurers, employers, attorneys, brokers, medical providers, and Medicare to create a seamless experience for our clients. Our flagship product is revolutionizing the way funds from insurance claim settlements are administered after settlement. Ametros continues to innovate, bringing new solutions to the market with the goal of simplifying healthcare for our clients. We make managing medical funds safe, effortless, and cost effective for everyone. 

A Claims Receipt Processor is primarily responsible for ensuring timely and accurate reimbursements of receipts submitted by our members. The position requires excellent phone and email skills with the ability to explain coverage in a way that is understandable to our members. The role works closely with the claims administrators and member care team to keep our members happy and compliant with their settlements.

PRIMARY 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.

Requirements

· At least 2 years of experience as a Claims Processor or in a related role

· 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