Medical Billing Coordinator, Revenue Cycle (Hybrid)
About The Position
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity available for a full time Medical Billing Coordinator. As a Medical Billing Coordinator, 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. Located in the Monroeville facility, this opportunity also provides free parking.
Requirements
- 1+ years of Healthcare Insurance Billing related experience.
- Experience using Microsoft Office products’ specifically Excel, Outlook, and Word.
- Must be able to commute to the Monroeville, PA office.
Nice To Haves
- Insurance billing or collections experience.
- Customer service in a healthcare environment.
- Experience working in a healthcare reimbursement system.
- Effective customer service skills and experience that shows ability to work in a team environment.
- Attention to detail.
- Ability to utilize analytical skills.
- Ability to communicate with clientele in a professional manner; both verbally and written.
Responsibilities
- Third party insurance claim billing associated with the dispensing medication and using the bill method required by the payer.
- 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.
- 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.
- Contact patients, physician's offices or insurance carriers as needed in order to expedite billing claims.
Benefits
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
