Medical Insurance Collections Coordinator - Monroeville, PA (Hybrid)

CVS Health • Monroeville, PA

5d • Hybrid

About The Position

CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area, is hiring a full-time Medical Insurance Collections Coordinator to handle insurance follow-up. The coordinator ensures timely and accurate payment of outstanding account balances while providing excellent customer service to patients, healthcare professionals, and insurance carriers. The role is based at the Monroeville facility and includes free parking. CVS Health describes a collaborative team environment and provides tools and resources to support success.

Requirements

• At least 1 year of healthcare insurance-related experience.
• Experience using Microsoft Office products, specifically Excel, Outlook, and Word.
• Ability to commute to the Monroeville, Pennsylvania office.
• Verifiable high school diploma or GED.
• Ability to communicate professionally with clientele, verbally and in writing.
• Ability to navigate multiple tasks simultaneously and prioritize by importance while maintaining attention to detail.

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 working in a team environment.
• Attention to detail.
• Ability to use analytical skills.

Responsibilities

• Conduct third-party follow-up related to prescription dispensing by telephone, internet, and written communication.
• Follow up on unpaid, recouped, and underpaid claims.
• Resolve invoice nonpayment issues arising from insurance problems, including incorrect or incomplete information, therapy changes, and pharmacy or shipping errors.
• Maintain chronological supporting notes documenting actions taken to resolve outstanding account balances.
• Maintain patient demographic information and data collection systems.
• Research and respond to insurance companies and governmental payers about collection issues by telephone, internet, and in writing.
• Contact patients, physician offices, and insurance companies as needed to expedite claims processing.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Free parking
• Eligibility for a CVS Health bonus, commission, or short-term incentive program in addition to base pay

What This Job Offers

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