Medical Claims Specialist

3 weeks ago


Monroeville, Pennsylvania, United States CVS Health Full time

CVS Health is a dynamic and patient-centric healthcare organization that strives to deliver exceptional care to its customers. We are seeking a highly skilled Medical Claims Specialist to join our team in the Monroeville area.


The ideal candidate will have a strong background in healthcare insurance billing, with experience in creating and processing medical claims. This individual will be responsible for ensuring timely and accurate invoicing for outstanding claims, while providing exceptional customer service to internal and external customers.


This role is part of our Revenue Cycle team, which operates in a fast-paced and team-focused environment. As a Medical Claims Specialist, you will work closely with our nursing supervisor to resolve any discrepancies in documentation and manually create invoices for payment of nursing services.


The successful candidate will have a solid understanding of Microsoft Office products, particularly Excel, Outlook, and Word. They will be able to utilize analytical skills to process data and communicate effectively with clients in a professional manner.


We offer a comprehensive benefits package, including medical, dental, and vision coverage, as well as a 401(k) retirement savings plan and employee stock purchase plan. Our team members also enjoy paid time off, paid holidays, and a CVS store discount.


The estimated salary for this role is $23.72 per hour, based on industry standards and the local cost of living. This pay range reflects the base hourly rate, and the actual base salary offer will depend on various factors, including experience, education, and geography.


As a Medical Claims Specialist at CVS Health, you will be part of a collaborative team environment that values diversity, equity, and inclusion. We are committed to providing a work-life balance and opportunities for growth and development.


In addition to your compensation, you will enjoy the rewards of an organization that puts its heart into caring for its colleagues and communities. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.


Required qualifications include 1 year of healthcare insurance billing experience, proficiency in Microsoft Office products, and the ability to live within a 1-hour commute from Monroeville, PA. Preferred qualifications include effective customer service skills, attention to detail, and the ability to utilize analytical skills.


Verifiable High School Diploma or GED is required for this role. If you are ready to join a dynamic and patient-centric healthcare organization, apply now to become a Medical Claims Specialist at CVS Health.


The Hybrid Role is available 4 times a month in the Monroeville, PA office, with a schedule of 7:00AM-4:00PM EST (Flex start after training). We offer free parking and a collaborative team environment that values diversity, equity, and inclusion.


CVS Health is an equal opportunity employer. We are committed to diversity, equity, and inclusion and welcome applications from qualified candidates from diverse backgrounds.



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