Pharmacy Billing Coordinator - Monroeville, PA (Hybrid)

CVS Health • Monroeville, PA

7d • Hybrid

About The Position

CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area, is hiring a full-time Pharmacy Billing Coordinator. The coordinator ensures timely and accurate billing of outstanding claims and provides customer service to patients, healthcare professionals, and insurance carriers. The role is part of a billing and reimbursement team in a fast-paced, team-focused environment and is located at the Monroeville facility. Free parking is available.

Requirements

• At least 1 year of healthcare insurance-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.
• Ability to communicate professionally with clientele, both verbally and in writing.

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 navigate multiple tasks simultaneously and prioritize based on importance while maintaining strong attention to detail.

Responsibilities

• Bill third-party insurance claims associated with dispensed medications using the method required by each payer.
• Transmit or submit paper and electronic claims to insurance payors for reimbursement.
• Resolve insurance problems and patient issues arising from incorrect or incomplete information, therapy changes, or pharmacy and shipping errors.
• Maintain supporting chronological notes detailing actions taken to resolve billing edits.
• Maintain patient demographic and insurance information and data collection systems.
• Complete 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

• Free parking.
• Medical coverage.
• Dental coverage.
• Vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs.
• Other resources to support colleagues' and their families' physical, emotional, and financial well-being, based on eligibility.
• Eligible 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