Pharmacy Billing Coordinator - Monroeville, PA (Hybrid)

CVS Health•Monroeville, PA

3d•$17 - $28•Hybrid

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 CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity available for a full time Pharmacy Billing Coordinator. As a Biller, 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. Located in the Monroeville Facility, this opportunity also provides free parking. We will support you by offering all the tools and resources you need to be successful in a collaborative team-based environment. Role Overview Hybrid Role Shift: Monday-Friday, 8:00AM-4:30PM EST (Flex Start after training) Training: First 2-3 weeks of employment. What you will do 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 and other third parties for reimbursement. Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information and therapy changes. Maintain 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, work 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.

Requirements

1 year of Healthcare Insurance Billing or related experience.
Customer service skills with the ability to work in a team environment.
Experience using Microsoft Office products specifically Excel, Outlook, and Word.
Must live within a 1-hour commute from Monroeville, PA.

Nice To Haves

Insurance billing or collections experience.
Ability to prioritize daily tasks.
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.
Working knowledge of medical terminology.
Attention to detail.
Effective problem solving and decision-making 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 and other third parties for reimbursement.
Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information and therapy changes.
Maintain 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, work 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.

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