CVS Health Senior Accounts Receivable Representative in MacHesney Park, Illinois

Job Description

We have a great opportunity to launch a career in a pharmacy operation setting as a Senior Collector you will support the Patient Financial Service Centers by working out of an aged trial balance queue and processing denials, refunds and secondary billing efforts for both commercial and government payors. Must have excellent written and verbal customer service skills and advanced computer skills in order to interact with key stakeholders and patients.

Use your newly acquired healthcare training or current reimbursement knowledge and customer services skills to make a difference in a patient’s life by ensuring that proper reimbursement efforts have been applied to their accounts and working with payors to get any discrepancies resolved. You will gain exposure in a multitude of aspects of the healthcare field, such as nursing, pharmacy, warehouse, clinical support, and sales.

Coram CVS/specialty infusion services is a national leader in the home infusion and enteral fields. You have an important, uniquely rewarding role putting your skills and experiences to work supporting a specialty pharmacy operation.

Key responsibilities:

  • Act as a liaison between Coram CVS Specialty Infusion and Intellinet.

  • Create and maintain training materials for Intellinet accounts.

  • Train outsourcing employees on Coram CVS collections practices and escalated accounts.

  • Monitor quality of work of Intellinet accounts and outsourcing non-government payor accounts.

  • Work off an aged trial balance to ensure a 30-day follow-up on all patient accounts.

  • Work with third party payers to ensure proper reimbursement on patient accounts, identifying and preparing adjustments and write-offs as appropriate.

  • Follow-up on daily correspondence (denials, low pays) to appropriately work patient accounts, interfacing with insurance companies via telephone to check claim status, written correspondence to payers and patients.

  • Interpret contracts with payers to ensure proper payment, sending initial or secondary bills to insurance companies.

  • Process refunds/reinstatements/ rejections of insurance claims, running reports on a weekly and monthly basis.

Learn more about us: https://www.youtube.com/user/CoramHealthcare

Required Qualifications

  • Minimum 2 year experience performing healthcare reimbursement, medical insurance/billing or related work.

  • Minimum 2 year experience working with healthcare reimbursement systems.

Preferred Qualifications

  • Customer service experience in a healthcare environment.

  • Strong attention to detail.

  • Ability to work in a team environment.

  • Proficient to advanced PC skills including MS Office, specifically Excel, Outlook and Word.

Education

High School Diploma/GED required.

Business Overview

Coram CVS/specialty infusion services is a leading national provider of specialty home infusion and specialty pharmacy services. The integration of Coram into CVS Health enables the company to offer enhanced, comprehensive infusion services; expanded payer access; and a national network of more than 85 locations, including 65 ambulatory infusion suites. Providing infusion therapies and services to over 20,000 patients each month, Coram cares for patients through all phases of their healthcare continuum including clinical and compliance monitoring, and individual patient counseling. CVS Health, through our unmatched breadth of service offerings, is the nation’s largest pharmacy health care provider transforming the delivery of health care services in the U.S. Our energetic and service-oriented colleagues embrace fresh ideas, new perspectives, a diversity of experiences, and a dedication to service to meet the needs of the many people and businesses relying on us each day.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf and EEO IS THE LAW SUPPLEMENT at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking Advice and Counsel at mailto:Advice&Counsel@cvshealth.com

CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/