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Job Title :
Pharmacy Billing Representative
Job ID :
743375BR
Location :
PA - Monroeville
Street Address :
105 Mall Blvd
Category :
Billing & Collections
Description :
Job Description
CVS Health, Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity available for a full time billing representative. As a Pharmacy Billing Representative, you will ensure timely and accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare
professionals and insurance carriers.

Key responsibilities of the Pharmacy Billing Representative:

- Responsible for all third party billing and follow-up associated with the dispensing of prescription medication Maintain supporting chronological notes that detail action taken to resolve outstanding balances

- Maintain patient demographic information and data collections systems

-
Work all billing reports, queues, or diversions according to payer and company policy guidelines
- Research and respond by telephone, via the internet and in writing to insurance companies and governmental payers regarding billing issues and problems
-
Transmit or submit claims (paper, electronic) to insurance payers for reimbursement Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors
- Contact patients and physician's offices as needed in order to expedite claims processing

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


Required Qualifications
- One or more year(s) experience performing healthcare reimbursement, medical insurance/billing or related work

Preferred Qualifications
- Experience working with a healthcare reimbursement system preferred
- Ability to communicate with clientele in a professional manner; both verbally and written
- Proven effective customer service skills and experience that shows ability to work in a team environment
- Ability to navigate through multiple tasks simultaneously and prioritize based on importance while displaying strong attention to detail
- Ability to take data and information and form strong analysis to be provided to leadership
- Experience working with Medicaid insurance preferred
- Experience in Microsoft Office, specifically Microsoft Excel, Microsoft Outlook, and Microsoft Word


Education
Verifiable High School Diploma or GED required

Business Overview
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking EEO AA CVS Health

CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/

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CVS Health core values of Innovation, Collaboration, Caring, Integrity, and Accountability not only support our purpose of helping people on their path to better health for our customers and patients, but they also apply to how we support our more than 250,000 colleagues. You will find our culture at CVS Health, and our leaders encourage personal and professional growth.

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