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Job Details

CVS Health

Medical Billing Representative (2093382BR)





Monroeville, Pennsylvania, United States

Job Description
Revenue Cycle Coordinator-- Medicare B Billing

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

The key responsibilities of the medical Billing
Representative are:
― 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
― 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 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
― Insurance billing or collections experience
― Customer service in a healthcare environment
― Experience working in a healthcare reimbursement
―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 wirtten

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.