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Pharmacy Billing Specialist
2 months ago
Job Summary
CVS Health is seeking a highly skilled Pharmacy Billing Specialist to join our team. As a key member of our Revenue Cycle team, you will be responsible for ensuring timely and accurate billing for unbilled claims and ensuring 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 collections 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 as well 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 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.
Compensation
The typical pay range for this role is: $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.
