Pharmacy Billing Specialist

2 weeks ago


Monroeville, Pennsylvania, United States CVS Health Full time
Join CVS Health

At CVS Health, we are united by a common mission: to bring our heart to every moment of your health. This mission drives our dedication to providing enhanced, human-centered healthcare in a rapidly evolving landscape.

Our core values, embodied in our Heart At Work BehaviorsTM, emphasize that the manner in which we deliver our services is as significant as the services themselves. We strive to empower every team member to play a pivotal role in transforming our culture and enhancing our capacity to innovate, ensuring healthcare is more personal, accessible, and affordable.

Position Overview
CVS Health Specialty Pharmacy is seeking a full-time Pharmacy Billing Specialist to join our dynamic team. This role is crucial in ensuring prompt and precise billing for unprocessed claims and managing account payments for outstanding balances, all while providing exceptional customer service to patients, healthcare providers, and insurance companies.

As a member of the Revenue Cycle team, you will thrive in a fast-paced, collaborative environment. We are committed to equipping you with the necessary tools and resources to succeed.

Key Responsibilities
- Manage third-party insurance claim billing and follow-up related to prescription medication dispensing, adhering to payer requirements.
- Submit claims (both paper and electronic) to insurance payers for reimbursement.
- Address insurance inquiries and patient concerns stemming from incorrect or incomplete information, therapy adjustments, or pharmacy errors.
- Maintain detailed chronological notes to document actions taken for unbilled claims.
- Update patient demographic information in data collection systems.
- Review and manage billing reports and queues in compliance with payer and company policies.
- Conduct research and respond to inquiries from patients, physician offices, insurance companies, and governmental payers regarding billing issues to expedite claims processing.

Qualifications
Required:
- Minimum of 1 year of experience in healthcare reimbursement, medical insurance billing, collections, or related fields.
- Must reside within a reasonable commuting distance to the office.

Preferred:
- Experience in billing and collections.
- Customer service experience in a healthcare setting.
- Familiarity with healthcare reimbursement systems.
- Strong verbal and written communication skills.
- Attention to detail and analytical skills.
- Proficiency in MS Office applications, particularly Excel, Outlook, and Word.

Education
- High School Diploma or GED is required.

Compensation and Benefits
The typical pay range for this role is competitive and commensurate with experience. In addition to base pay, eligible employees may participate in a bonus or incentive program. CVS Health offers a comprehensive benefits package, including medical, dental, and vision coverage, a 401(k) retirement savings plan, employee stock purchase options, life insurance, and disability benefits. We also provide numerous well-being programs, educational assistance, and discounts on CVS products and services. Paid Time Off (PTO) and holidays are also part of our employee benefits.

CVS Health is an equal opportunity and affirmative action employer. We do not discriminate based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable law.



  • Monroeville, Pennsylvania, United States A-Line Staffing Solutions Full time

    Job OverviewA-Line Staffing Solutions is currently seeking an Accounts Receivable Specialist. This role is essential for managing and processing billing operations efficiently.Compensation and BenefitsThe hourly wage for this position is $19.50.Full-time employees are eligible for benefits after a designated period of employment.Position HighlightsThe...


  • Monroeville, Pennsylvania, United States CVS Health Full time

    Job SummaryCVS Health is seeking a highly skilled Medical Billing and Payable Representative to join our team. As a key member of our Revenue Cycle team, you will be responsible for ensuring timely and accurate invoicing for outstanding claims while providing exceptional customer service to internal and external customers.Key ResponsibilitiesObtain and...

  • Chemist II

    6 days ago


    Monroeville, Pennsylvania, United States Volt Full time

    Job Summary:Volt is seeking a highly skilled Chemist II to join our team as a Laboratory Operations Specialist. In this role, you will be responsible for safely and efficiently operating equipment to complete various stages of chemical processing.Key Responsibilities:Operate equipment to prescribed instructions in the kilo lab to complete various stages of...


  • Monroeville, Pennsylvania, United States CVS Health Full time

    Job SummaryCVS Health is seeking a highly skilled Medical Copay Card Coordinator to join our team. As a Medical Copay Card Coordinator, you will play a critical role in ensuring timely and accurate billing for outstanding claims while providing exceptional customer service to patients, healthcare professionals, and insurance carriers.Key...


  • Monroeville, Pennsylvania, United States Allegheny Health Network Full time

    Job SummaryWe are seeking a skilled Respiratory Therapist to join our team at Allegheny Health Network. As a Respiratory Therapist, you will be responsible for providing assessment, treatment, care, and evaluation for patients with respiratory disorders under licensed medical direction.Key ResponsibilitiesAdministers therapeutic respiratory care procedures...


  • Monroeville, Pennsylvania, United States Owens & Minor, Inc. Full time

    Company Overview At Owens & Minor, we play a vital role in the healthcare ecosystem. As a leading Fortune 500 organization with numerous facilities nationwide and a diverse workforce across the globe, we deliver comprehensive technologies, products, and services throughout the entire spectrum of care. Our customers—and their patients—are central to...


  • Monroeville, Pennsylvania, United States Owens & Minor, Inc. Full time

    Company Overview At Owens & Minor, we play a vital role in the healthcare continuum. As a recognized leader in the industry, we operate numerous facilities nationwide and employ a diverse workforce dedicated to delivering integrated solutions that enhance patient care. Our Commitment Our goal is to empower healthcare providers and their patients, and...


  • Monroeville, Pennsylvania, United States Owens & Minor, Inc. Full time

    Company Overview At Owens & Minor, we play a vital role in the healthcare ecosystem. As a leading Fortune 500 organization with numerous facilities nationwide and a diverse workforce, we deliver comprehensive technologies, products, and services that span the entire spectrum of care. Our customers—and their patients—are central to our mission. Our...


  • Monroeville, Pennsylvania, United States CVS Health Full time

    About This RoleThe Director, Revenue Cycle Solutions will play a critical role in driving strategic oversight of Specialty Revenue Cycle Process Improvement, Payer Relations, Reimbursement Analysis, and Training and QA Departments. This position will be responsible for aiding the Revenue Cycle Department in reaching overall department goals through proactive...


  • Monroeville, United States CVS Health Full time

    Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...


  • Monroeville, United States CVS Health Full time

    Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...


  • Monroeville, United States UPMC Full time

    UPMC Magee-Womens Hospital is seeking a Full Time Clinical Support Specialist III to support Women's Imaging Monroeville! This position will work daylight and evenings Monday through Friday, as well as rotating Saturdays. Travel is expected about 50% of the time in this role. Hours and travel requirements are subject to change based on business needs. Under...

  • Patient Pay Collector

    4 weeks ago


    Monroeville, United States Rose International Full time

    EducationVerifiable High School diploma or GED is required.Required Experience:Must have min 1-2 years of pharmacy billing experience Strong communication, interpersonal, and prioritization skills Must be highly organized and detail-oriented. Ability to work in a fast-paced, rapidly changing environment Good computer skills requiring basic knowledge of...

  • Patient Pay Collector

    2 months ago


    Monroeville, United States Rose International Full time

    EducationVerifiable High School diploma or GED is required.Required Experience:Must have min 1-2 years of pharmacy billing experience Strong communication, interpersonal, and prioritization skills Must be highly organized and detail-oriented. Ability to work in a fast-paced, rapidly changing environment Good computer skills requiring basic...


  • Monroeville, United States NTT DATA Full time

    Job Title: Accounts Receivable Representative- (Temporary 6 months or longer) Industry: Healthcare FSLA status: Non-Exempt Department: Operations Level: Entry to mid-level Location: Monroeville, PA- Hours: M-F 8:00 AM-4:30 PM Pay Rate: 18.00 Hybrid Role At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity,...


  • Monroeville, United States Allegheny Health Network Full time

    Job SummaryWe are seeking a skilled Respiratory Therapist to join our team at Allegheny Health Network. As a Respiratory Therapist, you will be responsible for providing assessment, treatment, care, and evaluation for patients with respiratory disorders under licensed medical direction.Key ResponsibilitiesAdminister Therapeutic Respiratory Care Procedures:...


  • Monroeville, Alabama, United States Stuart Richeson - State Farm Agent Full time

    Position OverviewAre you a personable and service-oriented individual? Do you thrive in engaging with clients? If so, a career with Stuart Richeson - State Farm Agent may be an excellent fit for you. Our agency focuses exclusively on marketing State Farm's insurance and financial service offerings.Key ResponsibilitiesDeliver Exceptional Customer Service:...


  • Monroeville, United States BluePearl Full time

    If you are a current associate, you will need to apply through our internal career site. Please log into Workday and click on the Jobs Hub app or search for Browse Jobs. Veterinary Radiologist – BluePearl – Pittsburgh South/Monroeville, PA * Competitive Salary and Relocation Package. Why should you choose Pittsburgh? They say a picture is worth...


  • Monroeville, United States Global Adult Care Services Full time

    Job DescriptionJob DescriptionESSENTIAL FUNCTIONS:Provide supervision, direction, and support to Direct Care Staff (DCS) to ensure services are provided according to the plan of care.Schedule and complete regular meetings with Direct Care Staff to provide guidance and feedback.Observe DCS on site carrying out the plan of care, as needed.Implement...


  • Monroeville, Pennsylvania, United States Enhabit Home Health & Hospice Full time

    About the Role:We are seeking an experienced Office Coordinator to join our team at Enhabit Home Health & Hospice. As a key member of our administrative staff, you will provide critical support to our Branch Director and ensure the smooth operation of our office.Key Responsibilities:Provide administrative support to the Branch Director, including managing...


  • Monroeville, United States BluePearl Full time

    If you are a current associate, you will need to apply through our internal career site. Please log into Workday and click on the Jobs Hub app or search for Browse Jobs. Veterinarian – Dermatologist - BluePearl - Monroeville, PA * Competitive Salary and Relocation Package for Full Time Clinicians. We are searching for an experienced,...