Senior Coordinator, Accounts Receivable

CVS Health • Monroeville, PA

31d • $19 - $35 • Onsite

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. CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area has an opportunity for a full-time Accounts Receivable Senior Coordinator to handle insurance follow up and PBM Client questions and issues. The Accounts Receivable Senior Coordinator will ensure timely and accurate account payment for outstanding balances while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. Additional responsibilities will include managing the SalesForce.com Specialty Pharmacy Reimbursement queue for incoming case requests, assisting with resolution as needed and ensuring timely response. In this role you will work in a customer service oriented, fast paced and team focused environment to help resolve patient account balances and PBM Client inquiries. We will support you by offering all the tools and resources you need to be successful in a collaborative team environment. As an Accounts Receivable Senior Coordinator, you will: Follow-up with both government and non-government insurance companies on open invoices associated with the dispensing of prescription medication via telephone, internet, and in writing Maintain supporting chronological notes that detail action taken to resolve outstanding account balances Maintain patient demographic information and data collection systems, including all billing/collection reports, queues, or diversions while remaining in accordance with payer and company policy guidelines Contact insurance companies, copay assistance organizations, and partnering with account managers as needed in order to ensure accurate claims processing Manage the Pharmacy benefit SalesForce.com Specialty Pharmacy Reimbursement queue ensuring timely review, resolution, and response Resolve escalated PBM Client questions and / or issues independently Identify trends within SalesForce.com case requests and escalate to management as necessary

Requirements

• 2 years of experience performing healthcare reimbursement / collections or medical insurance billing
• 1 or more years of experience in Microsoft Office, specifically Excel, Outlook, and Word
• Ability to work independently and collaboratively with a team environment
• Must be able to commute into the Monroeville office

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 navigate through multiple tasks simultaneously and prioritize based on importance while displaying strong attention to detail.
• Ability to communicate with clientele in a professional manner; both verbally and written.

Responsibilities

• Follow-up with both government and non-government insurance companies on open invoices associated with the dispensing of prescription medication via telephone, internet, and in writing
• Maintain supporting chronological notes that detail action taken to resolve outstanding account balances
• Maintain patient demographic information and data collection systems, including all billing/collection reports, queues, or diversions while remaining in accordance with payer and company policy guidelines
• Contact insurance companies, copay assistance organizations, and partnering with account managers as needed in order to ensure accurate claims processing
• Manage the Pharmacy benefit SalesForce.com Specialty Pharmacy Reimbursement queue ensuring timely review, resolution, and response
• Resolve escalated PBM Client questions and / or issues independently
• Identify trends within SalesForce.com case requests and escalate to management as necessary

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: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees