Pharmacy Reimbursement Specialist
4 days ago
We are seeking a highly skilled Pharmacy Reimbursement Representative to join our team at CVS Health. As a Pharmacy Reimbursement Representative, you will play a critical role in ensuring accurate and timely billing practices for our pharmacy operations.
Key Responsibilities- Qualify, prepare, and submit claims to the Copay Assistance program
- Work with pharmacy operations staff, prescriber offices, third-party payers, patients, and/or their responsible parties and claim processors
- Follow processes to assist with processing, insurance verification, and authorization, revenue cycle management, compliance, and documentation, as well as customer service and issue resolution
- Provide support in ensuring accurate billing, efficient revenue flow, and compliance with regulations
- Minimum 1 year of experience performing healthcare reimbursement, medical insurance/billing, or related work
- Customer service skills with the ability to work in a team environment
- Experience in MS Word, Excel, and Outlook
- Must live within a 1-hour commute of the Monroeville, PA office
- Ability to prioritize daily tasks
- Working knowledge of medical terminology
- Experience working with healthcare reimbursement systems
- Working knowledge of problem-solving and decision-making skills
- Certified Billing and Coding Specialist (CBCS) preferred
At CVS Health, we offer a comprehensive benefits package, including medical, dental, and vision benefits, as well as a 401(k) retirement savings plan and employee stock purchase plan. We also offer paid time off, paid holidays, and a fully-paid term life insurance plan. Additionally, we provide opportunities for professional development and growth within the company.
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