Current jobs related to Premium Billing Specialist - Charleston, West Virginia - CVS Health
-
Medical Billing Specialist
1 week ago
Charleston, West Virginia, United States CommuniCare Family of Companies Full timeJob SummaryWe are seeking a detail-oriented Medical Billing Specialist to join our Corporate Managed Care Billing Department. The ideal candidate will have a strong understanding of medical billing and collection practices, with 3-5 years of experience in managed care billing.Key ResponsibilitiesBilling, receivables auditing, and collections activities for...
-
Medical Billing Specialist
1 week ago
Charleston, West Virginia, United States CommuniCare Family of Companies Full timeJob SummaryThe Medical Billing Specialist role at CommuniCare Family of Companies is responsible for processing and managing medical claims for our facilities. This position requires strong attention to detail and excellent communication skills to interact with insurance companies and resolve unpaid claims.Key ResponsibilitiesProcess and manage medical...
-
Medical Billing and Coding Specialist
4 weeks ago
Charleston, West Virginia, United States WVFSRS Full timeJob SummaryThe Medical Billing and Coding Specialist plays a critical role in ensuring accurate and timely reimbursement for healthcare services. This position requires a strong understanding of medical billing and coding principles, as well as excellent communication and interpersonal skills.Key ResponsibilitiesAssigning accurate codes to medical...
-
Project Accountant/Billing Specialist
3 weeks ago
Charleston, West Virginia, United States INFRASTRUCTURE CONSULTING & ENGINEERING Full timeJob Title: Project Accountant/Billing SpecialistInfrastructure Consulting & Engineering, LLC (ICE) is seeking a skilled Project Accountant/Billing Specialist to join our team. As a key member of our accounting department, you will be responsible for ensuring accurate and timely generation and submission of monthly invoices to our clients.Key...
-
Insurance Billing Specialist
2 weeks ago
Charleston, West Virginia, United States HUB International Full timeAbout HUB International:HUB International Limited is a leading global insurance and employee benefits broker, providing a wide range of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services.With over 18,000 employees in 500+ offices throughout North America, HUB has grown...
-
Project Accountant/Billing Specialist
2 weeks ago
Charleston, West Virginia, United States INFRASTRUCTURE CONSULTING & ENGINEERING Full timeJob Title: Project Accountant/Billing SpecialistInfrastructure Consulting & Engineering, LLC (ICE) is seeking a skilled Project Accountant/Billing Specialist to join our team. As a key member of our accounting department, you will play a vital role in ensuring the accurate and timely generation and submission of client invoices.Key Responsibilities:Determine...
-
Epic Professional Billing Specialist
4 weeks ago
Charleston, West Virginia, United States Insight Global Full timeJob Title: Epic Professional Billing AnalystExact compensation may vary based on several factors, including skills, experience, and education.Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with...
-
Medical Billing Specialist
1 week ago
Charleston, West Virginia, United States US01 AllCare Plus Pharmacy, Inc. Full timeCare Manager Job SummaryWe are seeking a highly skilled Care Manager to join our team at US01 AllCare Plus Pharmacy, Inc. As a Care Manager, you will be responsible for contacting insurance companies to obtain correct eligibility information, performing benefit investigations, copay assistance, and checking prior authorization and/or appeal status.Key...
-
Pharmacy Compliance Specialist
2 weeks ago
Charleston, West Virginia, United States Roper St. Francis Full timeJob Summary:The Pharmacy Compliance Specialist is responsible for ensuring the integrity and financial optimization of Roper St. Francis Healthcare's 340B program. This role collaborates with the 340B Specialist to complete, validate, and document audits related to program compliance. The specialist will ensure program management and coordination,...
-
Benefits and Payroll Specialist
2 weeks ago
Charleston, West Virginia, United States City National Bank of WV Full timeJob SummaryWe are seeking a highly organized and detail-oriented Benefits and Payroll Specialist to join our team at City National Bank of WV. The successful candidate will provide administrative support to the Benefits and Payroll Departments, with a focus on leave administration and timekeeping.Key ResponsibilitiesProcess all leave of absence (LOA) and...
-
Pharmacy Compliance Specialist
1 week ago
Charleston, West Virginia, United States Roper St. Francis Full timeJob Summary:The Pharmacy Compliance Specialist will be responsible for ensuring the compliance and integrity of Roper St. Francis Healthcare's 340B program. This role will collaborate with the 340B Specialist to complete and validate audits related to program compliance. The specialist will also ensure the management and coordination of split-billing...
-
Medical Coding Specialist
1 month ago
Charleston, West Virginia, United States Massachusetts General Hospital(MGH) Full timeJob SummaryMassachusetts General Hospital(MGH) is seeking a skilled Medical Coding Specialist to join our team. As a Medical Coding Specialist, you will be responsible for accurate coding of professional services and upholding compliance standards.Key ResponsibilitiesPerform coding and related duties using established Professional Billing Office and Coding...
-
Pharmacy Compliance Specialist
1 week ago
Charleston, West Virginia, United States Roper St. Francis Full timeJob Summary:The Pharmacy Compliance Specialist is responsible for ensuring the integrity and compliance of Roper St. Francis Healthcare's 340B program. This role collaborates with the 340B Specialist to complete, validate, and document audits related to program compliance. The specialist will ensure program management and coordination, configuration, and...
-
Data Specialist
1 month ago
Charleston, West Virginia, United States Marmon Holdings, Inc. Full timeJob SummaryWe are seeking a highly skilled Data Specialist to provide administrative and data support to our Engineering department. The successful candidate will be responsible for creating bills of materials for new and current product lines using SYSPRO or equivalent software, and maintaining a sample library.Key ResponsibilitiesConfigure Bills of...
-
Data Specialist
1 month ago
Charleston, West Virginia, United States Marmon Holdings, Inc. Full timeJob DescriptionAs a Data Specialist at Marmon Holdings, Inc., you will provide critical administrative and data support to the Engineering department. Your key responsibilities will include creating bills of materials for new and current product lines using SYSPRO or equivalent software, as well as maintaining a sample library.Essential Functions:Configure...
-
Data Support Specialist
4 weeks ago
Charleston, West Virginia, United States Marmon Holdings, Inc. Full timeJob SummaryWe are seeking a highly organized and detail-oriented Data Specialist to provide administrative and data support to our Engineering department. The successful candidate will be responsible for creating bills of materials for new and current product lines using SYSPRO or equivalent software, and maintaining a sample library.Essential...
-
Accounts Payable Specialist
2 weeks ago
Charleston, West Virginia, United States Hendrick Automotive Group Full timeJob SummaryWe are seeking a highly organized and detail-oriented Accounts Payable Specialist to join our team at Hendrick Automotive Group. As an Accounts Payable Specialist, you will be responsible for processing and reconciling vendor invoices, managing cash flow, and ensuring accurate and timely payment of bills.Key Responsibilities:Process and reconcile...
-
Patient Access Specialist
3 weeks ago
Charleston, West Virginia, United States Roper St. Francis Full timeJob SummaryThe Patient Access Specialist plays a vital role in providing exceptional customer service to patients and their families. This individual will be responsible for greeting patients, registering them into our tracking software, and collecting necessary information to ensure accurate billing and patient care.Key ResponsibilitiesProvide excellent...
-
Public Benefit Specialist
1 week ago
Charleston, West Virginia, United States Ensemble Health Partners Full timeJob Summary:Ensemble Health Partners is seeking a skilled Public Benefit Specialist to join our team. As a Public Benefit Specialist, you will play a critical role in ensuring that patients receive the financial assistance they need to access quality healthcare. Key Responsibilities:Interview patients to determine eligibility for Medicaid benefits or...
-
Pharmacy Compliance Specialist
2 weeks ago
Charleston, West Virginia, United States Roper St. Francis Full timeJob SummaryThe Pharmacy Compliance Specialist is responsible for ensuring the integrity and optimization of Roper St. Francis Healthcare's 340B program. This role collaborates with the 340B Specialist to complete and document audits related to program compliance, ensuring adherence to policies and procedures.Key ResponsibilitiesCollaborate with the 340B...
Premium Billing Specialist
2 months ago
At CVS Health, we are committed to enhancing health care through a human-centric approach. Our mission is to ensure that every interaction reflects our dedication to personal, convenient, and affordable health solutions.
Position Overview
As a Billing Premium Consultant, you will be responsible for delivering precise billing statements to Plan Sponsors and ensuring timely issuance of ID cards and audit certification lists. Your role is crucial in improving financial outcomes by minimizing losses related to non-payment and ensuring that reconciled funds are accurately allocated across various benefits and structures.
Key Responsibilities
- Review and compare member listings and payments from Plan Sponsors to actual billing statements to identify and rectify discrepancies.
- Monitor and resolve outstanding premium collections and revenue adjustments, communicating effectively with customers and internal teams.
- Ensure all manual adjustments, refunds, and write-offs comply with established policy guidelines.
- Validate and update revenue forecasting information and trends for self-insured clients.
- Coordinate eligibility validation for both fully insured and self-insured customers.
- Apply relevant policies, legislation, and account structures to decision-making processes.
- Accurately post remittances across various benefits and reconcile customer payments.
- Identify overdue accounts and manage the collection and cancellation processes in line with market segment protocols.
- Address eligibility and billing inquiries from Plan Sponsors and other stakeholders.
Qualifications
Required:
- Minimum of 1 year of experience in financial reporting.
- Strong analytical skills to interpret financial data.
Preferred:
- Financial experience is advantageous.
- Ability to prioritize tasks and work efficiently.
- Excellent verbal and written communication skills.
- Strong organizational abilities.
- Proficiency in math and accounting principles.
- Effective problem-solving skills with attention to detail.
Education
- High School Diploma required.
Compensation
The typical pay range for this position is $29.88 per hour. This range reflects the base hourly rate for all roles within this job grade. Actual compensation will be determined based on various factors including experience, education, and geographic location.
In addition to competitive pay, CVS Health offers a comprehensive benefits package, including medical, dental, and vision coverage, a 401(k) retirement savings plan, and an Employee Stock Purchase Plan. Eligible employees receive fully-paid term life insurance, short-term and long-term disability benefits, and access to numerous well-being programs. Paid Time Off (PTO) and paid holidays are also provided in accordance with company policies and state laws.
