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Job Details

CVS Health

Insurance Collections Representative (2082860BR)





Monroeville, Pennsylvania, United States

Job Description
CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area has an opportunity for a full-time Insurance Collections Representative to handle insurance follow up. The Insurance Collections Representative will ensure timely and accurate account payment for outstanding balances while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers.
Key Responsibilities of the Insurance Collections Representative:
― Third party follow-up associated with the dispensing of prescription medication via telephone, Internet, and in writing
― Emphasis on following up with insurance payers via phone, fax, Provider Portals, internet and mail.
― Excellent telephone manners and communication skills with payers, patient, co-workers and your management team.
― 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, including all billing/collection reports, queues, or diversions while remaining in accordance with payer and company policy guidelines
― Research and respond by telephone, via the internet and in writing to insurance companies regarding collection issues and problems
― Contact patients and Physician’s offices as well as insurance companies as needed in order to expedite claims processing
― Bring updates to leadership team and team meetings as warranted.

Required Qualifications
― 18 months Healthcare Insurance related experience such as reimbursement/collections or medical insurance billing or insurance collections.
― One or more years of experience using Microsoft Office products’ specifically Excel, Outlook and Word.

COVID Requirements

COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications
― Experience in Insurance follow up
― 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
Ability to manage simultaneous projects and prioritize accounts in a fast-paced environment.
― Strong attention to detail.
― Ability to work both independently and collaboratively with a team environment.
― Able to meet deadlines.
― Excellent problem-solving skills.
― Computer Skills and strong typing proficiency.
― Confident decision maker.

Verifiable High School Diploma or GED required

Business Overview
Bring your heart to CVS Health
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

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.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day.
CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.