Monroeville, Pennsylvania

Job Description
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 environment.

The key responsibilities of the medical Billing Representative are:
- Billing and follow-up associated with the billing for dispensed prescription medication
- 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.
- 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 errors
- 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
- One or more years’ of experience working with MS Office, specifically Excel, Outlook and Word
- One or more years’ of experience in a healthcare Revenue Cycle environment

Preferred Qualifications
- Minimum of one year experience performing healthcare reimbursement, medical insurance/billing or related work
- Strong verbal and written communication skills with the ability to effectively communicate in a customer service environment
- Ability to utilize analytical skills to solve problems in the healthcare reimbursement/claims workflow
Ability to work independently and collaboratively with a team environment
Able to multi-task and meet deadlines
Excellent problem-solving skills
Computer skills and strong typing proficiency

Verifiable High School Diploma or GED required.

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. See Job Description

Monroeville, Pennsylvania

Continue serving and work with a purpose

As a CVS Health colleague, you'll find career opportunities across the organization and at every stage of your career. More important, your work will have an impactful purpose on someone's life, including your own. Learn more about how you can continue serving on your next mission at CVS Health.

Careers for Veterans and Military Spouses


"The military has an ethos that is grounded in purpose-driven service that’s bigger than the individual. The same holds true for us at CVS Health. You can talk to colleagues in any part of our business and they will be able to articulate our company’s purpose. Working here provides an opportunity for service members and military spouses to continue to serve, just in a civvies."

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