Copay Assistance Accounts Receivable (A/R) Representative

This role is a remote role based in EST or CST time zones

Job Summary

The Copay Assistance A/R Representative is responsible for managing, reconciling, and collecting payments from manufacturer copay assistance programs and foundations. This role ensures accurate application of copay funds, timely follow-up on outstanding balances, and compliance with payer and program requirements to support optimal revenue cycle performance.

Key Responsibilities

• Monitor accounts receivable related to manufacturer copay cards, vouchers, and foundation assistance

• Research and resolve unpaid, underpaid, or denied copay claims

• Conduct timely follow-up with manufacturers, third-party vendors, and foundations on outstanding balances

• Identify discrepancies between expected and received copay assistance amounts and take corrective action

• Maintain detailed documentation of follow-up activity and resolutions

• Work closely with billing and cash posting teams to resolve account issues

• Ensure compliance with payer guidelines, manufacturer program rules, and internal policies

• Meet productivity, accuracy, and aging benchmarks for copay A/R

• Assist with audits, reporting, and process improvement initiatives as needed

• Assist with primary insurance A/R

Qualifications

• High school diploma or equivalent required; associate’s degree preferred

• 1–3 years of experience in healthcare setting

• Experience with copay assistance programs, specialty pharmacy, or medical billing preferred

• Familiarity with EOBs, remittance advice, and insurance billing workflows

• Proficiency with billing systems, practice management software, and Microsoft

• Office (Excel preferred)

• Strong analytical, problem-solving, and organizational skills

• Ability to manage high-volume accounts with attention to detail

• Effective written and verbal communication skills

Work Environment & Skills

• Ability to work independently and as part of a team

• Strong time-management skills with the ability to prioritize tasks

• Comfortable working with confidential patient and financial information (HIPAA compliant)

• Detail-oriented with a focus on accuracy and follow-through