Representative, Payer Conversions

Overview

Under the minimal supervision of the PRCM Operations Supervisor or PRCM Operations Manager and through collaboration with fellow team members, the Conversion Representative facilitates resolving Unapplied Cash Category 1 (UAC Cat 1) through the conversion of paper remittance advice to electronic remittance advice, setting up secure transmission connections with carriers, and establishing working relationships with Pharmacy Benefit Managers and insurance carriers.

Major Responsibilities/Essential Functions

Facilitate the conversion from paper remittance advice to electronic remittance advice. Electronic remittance conversion is key as it reduces manual efforts of managing paper remittance. (70%)

• Analyze client/carrier trends to identify conversion opportunities
• Create and maintain conversion tracking logs for all assigned clients
• Participates in Onboarding meetings with clients
• Responsible for...