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Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary:
CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area has an opportunity for a full-time Insurance Billing/Collections Representative to handle timely billing and insurance follow up. The Insurance Billing/Collections Representative will ensure timely billing and accurate account payment for outstanding balances while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. We will support you by offering all the tools and resources you need to be successful in a collaborative team environment. Located in the Monroeville facility, this opportunity also provides free parking.

What you will do

• Timely response to Medicare audits and appeals
• Research and gather the appropriate documentation to form all levels of appeals for Medicare
• Third party follow-up associated with the dispensing g of prescription medication via telephone, Internet, and in writing
• 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

Required Qualifications

• 6 months or more related work experience.
• Must live within a 1 hour commute from the Monroeville, PA office.
• Experience using Microsoft Office products’ specifically Excel, Outlook and Word.

Preferred Qualifications

• Insurance billing or collections experience
• Working knowledge of problem solving and decision making skills
• 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
• Certified Billing and Coding Specialist (CBCS) preferred but not required .

Education

• High School Diploma or GED

Pay Range

The typical pay range for this role is:

$17.00 - $28.46

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 12/31/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.