Medical Billing Coordinator, Revenue Cycle (Hybrid)

CVS Health • Monroeville, PA

3d • $17 - $28 • Hybrid

About The Position

CVS Health Specialty Pharmacy is hiring a full-time Medical Billing Coordinator for its Monroeville, Pennsylvania facility. The coordinator supports the billing and reimbursement team by ensuring timely and accurate billing of outstanding claims. The role involves customer service for patients, healthcare professionals, and insurance carriers in a fast-paced, team-focused environment. The position is hybrid, requires commuting to the Monroeville office, and offers free parking.

Requirements

• At least 1 year of healthcare insurance billing-related experience.
• Experience using Microsoft Office products, specifically Excel, Outlook, and Word.
• Must be able to commute to the Monroeville, Pennsylvania office.
• Verifiable high school diploma or GED required.

Nice To Haves

• Insurance billing or collections experience.
• Customer service experience in a healthcare environment.
• Experience working in a healthcare reimbursement system.
• Effective customer service skills and experience demonstrating the ability to work in a team environment.
• Attention to detail.
• Ability to use analytical skills.
• Ability to communicate professionally with clientele, both verbally and in writing.

Responsibilities

• Bill third-party insurance claims for dispensed medications using the billing method required by each payer.
• Transmit or submit paper and electronic claims to insurance payors for reimbursement.
• Resolve insurance problems and patient issues resulting from incorrect or incomplete information, therapy changes, or pharmacy or shipping errors.
• Maintain supporting chronological notes detailing actions taken to resolve billing edits.
• Maintain patient demographic and insurance information, as well as data collection systems and billing reports, queues, or diversions, according to payer and company policy guidelines.
• Research and respond to insurance companies and governmental payors about billing issues or related questions by telephone, internet, and in writing.
• Contact patients, physician offices, or insurance carriers as needed to expedite billing claims.

Benefits

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility
• Eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range
• Free parking

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED