Pharmacy Billing Coordinator - Monroeville, PA (Hybrid)
CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. They are seeking a Pharmacy Billing Coordinator to ensure timely and accurate billing for outstanding claims while providing excellent customer service to patients and insurance carriers.
Responsibilities
- 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 and other third parties for reimbursement
- Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information and therapy changes
- Maintain 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, work 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
Skills
- 1 year of Healthcare Insurance Billing or related experience
- Customer service skills with the ability to work in a team environment
- Experience using Microsoft Office products specifically Excel, Outlook, and Word
- Must live within a 1-hour commute from Monroeville, PA
- Verifiable High School Diploma or GED
- Insurance billing or collections experience
- Ability to prioritize daily tasks
- Customer service in a healthcare environment
- Experience working in a healthcare reimbursement system
- Effective customer service skills and experience that shows ability to work in a team environment
- Working knowledge of medical terminology
- Attention to detail
- Effective problem solving and decision-making skills
- Ability to communicate with clientele in a professional manner; both verbally and written
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings
- Tobacco cessation and weight management programs
- Confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
Company Overview