PrudentRx

Claims Specialist

• Review and analyze claims to identify claims that may have been improperly billed to the COB plan for further investigation
• Ensures data is accurate and updated for efficient claims processing
• Monitor claims to ensure co-pay cards are utilized and billed properly
• Research, identify, and communicate errors
• Verify co-pay card fund availability
• Maintain current knowledge of various types of COB and third-party payer rules
• Meet all regulatory, contractual, or other requirements
• Other duties as assigned