Medical Insurance Collections Specialist

2 weeks ago


Monroeville, Pennsylvania, United States CVS Health Full time
Job Title: Medical Insurance Collections Representative

At CVS Health, we're committed to delivering exceptional healthcare services to our patients. As a Medical Insurance Collections Representative, you'll play a vital role in ensuring timely and accurate account payment for outstanding balances while providing excellent customer service to patients, healthcare professionals, and insurance carriers.

Key Responsibilities:
  • Responsible for all third-party follow-up associated with the dispensing of prescription medication
  • Maintain supporting chronological notes that detail action taken to resolve outstanding account balances
  • Work all billing/collection reports, queues, or diversions according to payer and company policy guidelines
  • Transmit or submit paper and/or electronic claims to insurance payors for reimbursement
  • Research and respond to insurance companies and governmental payors regarding billing issues or related questions
Requirements:
  • 1+ years of experience performing healthcare reimbursement, medical billing, or insurance collections
  • 1+ years of experience in Microsoft Office, specifically Excel, Outlook, and Word
  • Must live within 1 hour of Monroeville, PA office
Preferred Qualifications:
  • Experience with Specialty Pharmacy Billing/Collections
  • Problem resolution within healthcare reimbursement/claims
What We Offer:

At CVS Health, we're committed to providing a comprehensive benefits package that includes medical, dental, and vision benefits, as well as a 401(k) retirement savings plan and employee stock purchase plan. We also offer a fully-paid term life insurance plan, short-term and long-term disability benefits, and numerous well-being programs.

We're an equal opportunity and affirmative action employer, and we welcome applications from qualified candidates with arrest or conviction records. We're committed to creating a diverse and inclusive workplace that reflects the communities we serve.



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