Pharmacy Benefit Manager Invoice Processor (Meritain Health)

CVS Health

4d • $17 - $34

About The Position

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary This role is for the Meritain Health PBM (Pharmacy Benefit Manager) Operations Team and is responsible for processing PBM vendor invoices and claims. The PBM Invoice Processor is assigned a set of groups to maintain their invoices on a weekly, bi-weekly, or monthly basis.

Requirements

• 2+ years of experience with health care data entry and/or claims processing.
• 1-3 years of customer service experience.
• High school diploma or GED.

Nice To Haves

• Ability to independently handle multiple assignments competently, accurately, and efficiently.
• Strong attention to detail.
• Work effectively in a team environment.
• Ability to work overtime if necessary.
• Demonstrated proficiency in Microsoft Excel.

Responsibilities

• Imports and monitors PBM claim data and invoice files.
• Reconciles and balances claims data and invoices in the claims processing system.
• Coordinates client billing and invoice payments.
• Communicate invoice processing errors/delays to client management.
• Communicate missing files for assigned book of business to file management.
• Maintain invoice tracker by keeping assigned book of business up to date.
• Manage special accommodation products as required. (i.e. international sourced drugs, complex PBM vendors, and high-profile clients).
• Reconcile aging reports and stop loss inquiries.
• Meet key performance metrics including production, quality, and turnaround time.

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.

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