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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity available for a full time Pharmacy Claims Biller. As a Biller, you will ensure timely and accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. As part of the billing and reimbursement team, you will work in a fast paced and team focused environment to ensure timely and accurate billing to insurance providers. Located in the Monroeville Facility, this opportunity also provides free parking. We will support you by offering all the tools and resources you need to be successful in a collaborative team-based environment.
Job Responsibility:
Third party insurance claim billing associated with the dispensing medication and using the bill method required by the payer
Transmit or submit claims (paper/electronic) to insurance payors and other third parties for reimbursement
Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information and therapy changes
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, work 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 in order to expedite billing claims
Requirements:
1 year of Healthcare Insurance Billing or related experience
Customer service skills with the ability to work in a team environment
Experience using Microsoft Office products specifically Excel, Outlook and Word
Must live within a 1-hour commute from the Monroeville, PA office
Verifiable High School Diploma or GED Required
Nice to have:
Insurance billing or collections experience
Ability to prioritize daily tasks
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
Working knowledge of medical terminology
Attention to detail
Effective problem solving and decision-making skills
Ability to communicate with clientele in a professional manner
both verbally and written
What we offer:
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching