9 days old

Medical Billing Representative

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 Medical Billing Representative. As a Medical Billing Representative, 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.

We will support you by offering all the tools and resources you need to be successful in a collaborative team based environment.

Key Responsibilities of the Manual Charge Entry Representative:

Data entry and Validation of Nursing & Per Diem revenue charges into the respective AR Billing Systems timely.

Collaboration with the Nursing Team, Nursing Payables Team and Payer to ensure appropriate billing and collections.

Comprise monthly billing report for client billing purposes.

Validate patient demographic and insurance information.

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

All other duties as assigned by Supervisor

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 for reimbursement

Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors

Maintaining 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 in order to expedite billing claims

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

**Required Qualifications**

18 months Healthcare Insurance Billing related experience.

Experience using Microsoft Office products specifically Excel, Outlook and Word.

**Preferred Qualifications**

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 communicate with clientele in a professional manner; both verbally and written


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: 2020-02-10 Expires: 2020-03-11

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Medical Billing Representative

CVS Caremark
Monroeville, PA 15146

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