Claim Reprocessing Coordinator

As a Claim Reprocessing Coordinator, you will be responsible for the timely and accurate reprocessing of pharmacy claims that require corporate edits. In this role, you will perform work through our RX Connect system on claims to identify trends and issues. Your tasks will include the handling and resolution of high priority Reprocessing requests from both internal and external sources. The main priority of this role is to reduce bad debt by editing claims with corrected information which will prevent future fills from being billed incorrectly. You will be responsible for evaluating current practices and procedures, to identify and implement team process improvements and keeping process documents updated. The Claim Reprocessing Coordinator will manage workflow within the team’s inbox and Reprocessing Database. Additionally, you will attend monthly Reprocessing stakeholder team meetings, with internal teams, to ensure alignment. You will provide training to new hires and established team members as needed. The Claim Reprocessing Coordinator will assist with ServiceNow ticket volume.