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Handle insurance follow up for CVS Health Specialty Pharmacy, ensuring timely and accurate account payment for outstanding balances while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers
Job Responsibility:
Third party follow-up associated with the dispensing of prescription medication via telephone, Internet, and in writing
Follow-up on unpaid, recouped payments, and underpaid claims
Resolve issues with nonpayment of invoices due to insurance problems that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors
Maintain supporting chronological notes that detail action taken to resolve outstanding account balances
Maintain patient demographic information and data collection systems
Research and respond by telephone, via the internet and in writing to insurance companies and governmental payers regarding collection issues and problems
Contact patients and Physician's offices as well as insurance companies as needed in order to expedite claims processing
Requirements:
1+ years of Healthcare Insurance related experience
Experience using Microsoft Office products specifically Excel, Outlook, and Word
Must be able to commute to the Monroeville, PA office
Verifiable High School Diploma or GED required
Nice to have:
Insurance billing or collections experience
Customer service in a healthcare environment
Experience working in a healthcare reimbursement system
Effective customer service skills and experience that shows ability to work in a team environment
Attention to detail
Ability to utilize analytical skills
Ability to navigate through multiple tasks simultaneously and prioritize based on importance while displaying strong attention to detail
Ability to communicate with clientele in a professional manner both verbally and written
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