Pharmacy Insurance Collections Coordinator - Monroeville, PA (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 Insurance Collections Coordinator. As a Pharmacy Insurance Collections Coordinator, you will ensure timely and accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. You will review requests for claim reconciliation and process appropriate adjustments. 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) Training: First 2-3 weeks of employment. What you will do
Requirements
- 1 year of Healthcare Insurance Billing or related experience.
- 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.
- 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.
- 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.
- Process adjustments based information provided in work queues or requests submitted through other areas in the organization.
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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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
