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Job Details


CVS Health

Senior Billing Consultant

Pharmaceuticals

All

Yearly

No

Tampa, Florida, United States

Job Description
This is a specialized claim billing role where the client's specialized invoice is based on reimbursement of claims paid and fees associated with claims savings. Also, a standard monthly employee fee invoice. This role requires the biller to generate & customize the invoice and reconcile to both aetna banking and client data. This is a complex billing style requiring detailed knowledge of claims processing.
Fundamental Components:
Attention to detail. Ability to work independently. Analytical and mathematical thinker.
BACKGROUND/EXPERIENCE desired:
Medical claims exp, advanced excel exp,

• Reviews third party business partner’s claims, fees, and payments to identify and resolve discrepancies
• Monitors, research, and resolves collection of outstanding claim or fee adjustment issues and reports corrections to appropriate contact
• Research, resolves, and responds to billing inquiries or issues.
• Attends monthly calls with senior management to review all accounts.

Pay Range
The typical pay range for this role is:
Minimum: 18.50
Maximum: 33.65

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications
- Medical claims experience
- Advanced excel skills
- Ability to work independently

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
- Access database experience

Education
Associate's degree or equivalent experience

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.