16 days old

Insurance Reimbursement Specialist

CVS Caremark
Monroeville, PA 15146
**Job Description**

CVS Health, Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity available for a full time Insurance Follow Up Representative. The primary responsibilities are to ensure timely and accurate account payment for outstanding balances while demonstrating excellent customer service.


Responsibilities Include:

- Third party follow-up regarding outstanding insurance accounts receivable

- Work all billing/collection reports according to payer and company policy guidelines

- Researches and responds by telephone, via the Internet and in writing to insurance companies and governmental payors regarding billing issues and problems

- Follows up on submitted claims; monitors unpaid claims, initiates appeals and resubmits claims as necessary

- Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information

- Provide detailed follow up with patients and payors in the form of, but not limited to phone calls, fax transmittals and e-mails

- Contact patients and Physicians offices as needed in order to expedite claims processing


Located in the Monroeville facility, this opportunity also provides free parking!


**Required Qualifications**

- 18 + months experience performing health care reimbursement, medical billing or insurance collections

- 1+ years experience in Microsoft Office, specifically Excel, Outlook and Word


**Preferred Qualifications**

-1+ years of experience with collections associated with Medical billing or collections in health care

- Customer Service in a health care environment and with healthcare reimbursement

- Ability to communicate with clientele in a professional manner; both written and verbal

- Proven effective customer service skills and experience that shows ability to work independently and in a team environment

- Ability to navigate through multiple tasks simultaneously and prioritize based on importance while displaying strong attention to detail


**Education**

Verifiable High School Diploma or GED required.


**Business Overview**

**Its a new day in health care.**


Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nations premier health innovation company. Through our health services, insurance plans and community pharmacists, were pioneering a bold new approach to total health. As a CVS Health colleague, youll be at the center of it all.


We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.


CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf and EEO IS THE LAW SUPPLEMENT at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm . We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team at mailto:AdviceCounsel@cvshealth.com . Please note that we only accept applications for employment via this site.


If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com . For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.
Posted: 2019-10-03 Expires: 2019-11-02

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Insurance Reimbursement Specialist

CVS Caremark
Monroeville, PA 15146

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