Pharmacy Billing Specialist

1 week ago


Pittsburgh, Pennsylvania, United States CVS Health Full time
Job Title: Pharmacy Billing Representative

CVS Health is seeking a highly skilled Pharmacy Billing Representative to join our team. As a key member of our Revenue Cycle team, you will play a critical role in ensuring timely and accurate billing for unbilled claims and account payment for outstanding balances.

Key Responsibilities:
  • Third-party insurance claim billing and follow-up associated with the dispensing of prescription medication using the bill method required by the payer.
  • Transmit or submit claims (paper, electronic) to insurance payers 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 chronological notes that detail actions taken to resolve outstanding unbilled claims.
  • Maintain patient demographic information in data collection systems.
  • Work all billing reports and queues while remaining in accordance with payer and company policy guidelines.
  • Research and respond by telephone, via the internet, and in writing to patients, physician's offices, insurance companies, and governmental payers regarding billing issues and problems to expedite claims processing.
Requirements:
  • 1+ year(s) experience performing healthcare reimbursement, medical insurance billing, collections, or related work.
  • Must live within a 1-hour commute to the Monroeville, PA office.
Preferred Qualifications:
  • Billing/Collections experience.
  • Customer service in a healthcare environment.
  • Experience working with a healthcare reimbursement system.
  • Ability to communicate with clientele in a professional manner; both verbally and written.
  • Attention to detail.
  • Ability to utilize analytical skills.
  • Effective customer service skills and experience that shows ability to work in a team environment.
  • Experience in MS Office, specifically Excel, Outlook, and Word.
Education:
  • Verifiable High School Diploma or GED required.

The typical pay range for this role is $17.00 - $28.45. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography, and other relevant factors. This position is eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range listed above.

CVS Health offers a comprehensive benefits package, including medical, dental, and vision benefits, as well as a 401(k) retirement savings plan and an Employee Stock Purchase Plan. We also offer a fully-paid term life insurance plan to eligible employees, and short-term and long-term disability benefits. CVS Health provides numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year.



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