Medical Billing Specialist

1 week ago


Greensburg, Pennsylvania, United States CVS Health Full time

At CVS Health, we're committed to delivering exceptional care and services to our patients. As a Medical Billing Representative, you'll play a vital role in ensuring timely and accurate billing for outstanding claims. Your exceptional customer service skills and attention to detail will make you a valuable asset to our team.

Role Overview

  • This is a hybrid role that requires coming into the office 4 times a month.
  • You'll work in a fast-paced, team-focused environment to ensure timely and accurate billing to insurance providers.

Job Responsibilities

  • Third-party insurance claim billing associated with the dispensing of medication and using the bill method required by the payer.
  • Transmit or submit claims (paper/electronic) to insurance payors 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 and chronological notes that detail action taken to resolve billing edits.
  • Maintain patient demographic and insurance information and data collections systems, including all billing reports, queues, or diversions according to payer and company policy guidelines.
  • Research and respond to insurance companies and governmental payors regarding billing issues or related questions by telephone, via the internet, and in writing.
  • Contact patients, physician's offices, or insurance carriers as needed to expedite billing claims.

Requirements

  • 1 year of Revenue cycle or medical insurance related experience.
  • 1 year of using Microsoft Office products, specifically Excel, Outlook, and Word.
  • Must live within a 1-hour commute from Monroeville, PA.

Preferred Qualifications

  • Healthcare insurance billing related experience.
  • Insurance billing or collections experience.
  • Medicare B experience.
  • Customer service in a healthcare environment.
  • Experience working in a healthcare reimbursement system.

Education

  • Verifiable High School Diploma or GED required.

Pay Range

The typical pay range for this role is: $17.00 - $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.



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