CVS Health Medical Billing Specialist in Monroeville, Pennsylvania

Job Description

CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity available for a full time medical Billing Representative. As a medical Billing Representative, you will ensure timely and accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. As part of the billing and reimbursement team, you will work in a fast paced and team focused environment to ensure timely and accurate billing to insurance providers.

We will support you by offering all the tools and resources you need to be successful in a collaborative team based environment.

The key responsibilities of the medical Billing Representative are:

  • Billing and follow-up associated with the billing for dispensed prescription medication

  • Maintaining supporting and chronological notes that detail action taken to resolve billing edits .

  • Maintain patient demographic and insurance information and data collections systems, including all

billing reports, queues, or diversions according to payer and company policy guidelines

  • Research and respond to insurance companies and governmental payors regarding billing issues or related questions by telephone, via the internet, and in writing.

  • Transmit or submit claims (paper/electronic) to insurance payors for reimbursement

  • Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors

  • Contact patients, physician's offices or insurance carriers as needed in order to expedite billing claims

Located in the Monroeville Facility, this opportunity also provides free parking.

Required Qualifications

-One or more years’ of experience working with MS Office, specifically Excel, Outlook and Word

-One or more years’ of experience in a healthcare Revenue Cycle environment

Preferred Qualifications

  • Minimum of one year experience performing healthcare reimbursement, medical insurance/billing or related work

  • Strong verbal and written communication skills with the ability to effectively communicate in a customer service environment

  • Ability to utilize analytical skills to solve problems in the healthcare reimbursement/claims workflow

  • Ability to work independently and collaboratively with a team environment

  • Able to multi-task and meet deadlines

  • Excellent problem-solving skills

Education

Verifiable High School Diploma or GED required.

Business Overview

CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.

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/