Private Pay Billing Specialist (Omnicare)

CVS Health•Work At Home-Ohio, OH

1d•$17 - $34•Remote

About The Position

The Private Pay Billing Specialist ensures accurate and timely billing for Omnicare private pay customers. The role supports the full billing lifecycle, including pre-billing activities, invoice generation, and post-billing account resolution. The Specialist collaborates with Customer Service and other cross-functional partners to research and resolve billing concerns and provide an exceptional customer experience. The position calls for a detail-oriented, analytical, customer-focused professional who can navigate multiple systems in a fast-paced environment. It requires strong communication skills, professionalism, patience, and a commitment to accuracy and confidentiality when handling sensitive patient information. This is a fully remote position. Employees must maintain a dedicated, private, distraction-free workspace, a quiet environment suitable for business conversations and virtual meetings, and reliable internet access. The role regularly accesses Protected Health Information (PHI), so employees must follow HIPAA and company security, privacy, and data protection requirements. Omnicare provides pharmacy services to long-term care facilities and, following its sale by CVS Health, will continue operating as an independent, standalone organization. The person hired will be employed by Omnicare. This full-time role is scheduled for 40 hours per week and offers a base pay range of $17.00–$34.15, with eligibility for a CVS Health bonus, commission, or short-term incentive program. The actual offer depends on factors such as experience, education, and geography.

Requirements

At least 1 year of experience in healthcare billing, including knowledge of Medicare, Medicaid, and private insurance billing processes.
Proficiency with Microsoft Office applications, including Outlook and Excel.
High school diploma or GED.
Maintain a dedicated, professional workspace free from distractions, a quiet work environment, and reliable internet connectivity.
Comply with company security, privacy, and data protection policies, including HIPAA requirements for handling PHI and confidential customer information.

Nice To Haves

Experience with long-term care billing, pharmacy billing, or revenue cycle operations.
Experience using ServiceNow or similar case management tools.
Familiarity with Omnicare operating systems, Oasis, and/or DX platforms.
Experience working in a remote customer service or billing environment.
Strong analytical and problem-solving skills.
Excellent attention to detail and commitment to accuracy.
Ability to prioritize multiple tasks and meet deadlines in a high-volume environment.
Strong verbal and written communication skills.
Professionalism and patience when addressing customer concerns and complex billing situations.
Ability to learn and navigate multiple systems and applications efficiently.

Responsibilities

Support the full private pay billing lifecycle, including pre-billing, invoice generation, and post-billing activities.
Research and update patient insurance information to ensure accurate claim submission and billing.
Review accounts to identify and resolve billing discrepancies.
Support weekly invoice generation, including account validation, Accounts Receivable reconciliation, and invoice quality reviews.
Process account corrections through rebilling and adjustment procedures as needed.
Partner with Customer Service to research and resolve customer concerns while delivering a positive customer experience.
Collaborate with internal business partners to resolve account issues and improve billing accuracy.
Maintain accurate documentation and comply with company policies, HIPAA requirements, and data privacy standards.
Participate in process improvement initiatives and support operational goals related to quality, productivity, and customer satisfaction.