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Ready to make an impact?

We’re on a journey to remove financial barriers to care for patients. Our employees are key to making this vision a reality.

TailorMed is united under one goal: To make healthcare more accessible and affordable for U.S. patients through financial assistance. To begin to solve such a monumental challenge, we have built a network of patients, providers, pharmacies, partners, and life science companies who are as dedicated to this goal as we are. Together, we are fulfilling our mission of moving mountains for patients.

TailorMed is seeking the best and brightest to join us in building solutions that have a direct, positive impact in patients' lives. You will be empowered to make decisions and take ownership of your work. You will work alongside talented, driven and passionate people. And there is a good chance you will do your best and most rewarding work here at TailorMed. We can't wait to work with you!

What We Do

U.S. healthcare costs are on the rise

58 million Americans say healthcare costs are a major financial burden for their family. When patients cannot afford care, the impact is felt throughout the care network. No one wins.

And we fight it with technology

Our platform helps our network participants proactively identify financially at-risk patients, intelligently match them with the best options from over 6,000 assistance programs and streamline enrollment and ongoing program management.

We’re moving mountains for patients

With a robust network and a comprehensive suite of solutions, TailorMed uncovers every available financial assistance opportunity to ensure any patient with any medical condition can afford the care they deserve.

Openings

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Copay Claims Processor

US - Remote · Full-time

About The Position

TailorMed is a technology startup on a mission to make healthcare more accessible and affordable for U.S. patients. To solve such a complex challenge, it takes a village, or as we say at TailorMed, a network! We’ve built the nation’s largest network of providers, pharmacies, partners, and life sciences companies who have joined us in making treatment affordable for all patients across all medical conditions.


The TailorMed network is powered by a suite of advanced solutions designed to proactively identify patients who need help the most, match them to all available financial resources, and most importantly, make it easy for patients to utilize those resources.


This is what we mean by “moving mountains for patients” and we’re ridiculously passionate about it.



The Copay Claims Processor is a member of the TailorMed Complete team and serves as an extension of our customer’s internal teams. This role helps improve financial outcomes for patients by using our platform to submit claims on the patient’s and provider’s behalf to the approved manufacturer or foundation copay program, and for our customers by helping them improve their financial performance as an organization. 

Responsibilities

  • Submit copay claims through appropriate channels and follow through to payment posting 
  • Work closely with our Financial Navigation team to ensure accurate and timely processing of claims
  • Communicate with manufacturer copay programs and foundation copay programs to resolve any issues or discrepancies
  • Communicate effectively with customer’s revenue cycle department to resolve any issues or discrepancies 
  • Maintain accurate records of all claims processed
  • Meet productivity and quality standards


Requirements

  • 2+ years of experience in medical billing and coding, or financial navigation experience
  • Experience working with insurance providers and healthcare organizations
  • Knowledge of all insurance types
  • Excellent communication and organizational skills
  • Ability to work well in a fast-paced environment
  • Willingness to adhere to and work during customer’s business hours
  • High school diploma or equivalent required


What We Offer

  • Competitive salary + equity
  • Premium medical, dental, and vision insurance plans, a wide range of voluntary and supplemental benefits, and 24/7 benefits access and support - all effective from your first day of work
  • 401(k) plan with a 4% employer match
  • Paid holidays, vacation, and sick leave
  • Six weeks of paid parental leave
  • Company-paid life insurance
  • New MacBook, plus all of the equipment and technology you’ll need to be successful in your role
  • The opportunity to help shape the future of healthcare


TailorMed is proud to be an equal opportunity employer. TailorMed prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.


Due to the sensitive nature of the data that TailorMed handles, finalist candidates must complete a successful background and reference check.


At this time, TailorMed is unable to provide sponsorship for employment. In order to be considered for employment, applicants must be currently legally authorized to work in the United States and not require future sponsorship in order to continue working in the United States.


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