Phoenix, Arizona

Job Description
Become a part of our growing team at our Phoenix facility!
As a Medical Billing Specialist for our Infusion Accounts
Receivable (A/R) Department, you will be responsible for
completing Patient Financial Services (PFS) tasks such as
billing and/or accounts receivable follow-up with payers
and maintaining quality and productivity requirements as
outlined in the position performance expectations. You will
process and submit accurate and timely claims to payers,
analyze and research unpaid claims, and assist in the
resolution of denials, partial payments, and payment
variances.
Additional responsibilities of the Medical Billing Specialist
include:
- Maintain and release all-ship-verified claims for all third
party claim (commercial or government) accounts within
established time frame as assigned
- Resolve errors and make claim edits assigned in work
queues
- Follow work list prioritization of accounts as established
by department policies and procedures for resolving
accounts and/or submitting claims
- Contact payers and patients when necessary for PFS
processes
- Request relevant information from appropriate Revenue
Cycle and clinical departments as required through the
course of the PFS processes
- Make necessary adjustments to patient demographic,
insurance, and account balance information
- Complete A/R adjustments where permitted and
appropriate; request other adjustments where permitted
and appropriate
- Comply with and adhere to all regulatory compliance
areas, policies and procedures (including HIPAA and PCI
compliance requirements), and "leading practices

Required Qualifications
18+ months performing healthcare reimbursement,
medical insurance billing or related work
-1+ years working with Microsoft Office, specifically Excel,
Outlook and Word

COVID Requirements
CVS Health requires its 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, or religious belief that prevents them from being vaccinated.

If you are 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 within the first 10 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 45 days of your employment. In some states and roles, you may be required to provide proof of full vaccination before you can begin to actively work. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.

If you are unable to be fully vaccinated due to disability, medical condition, or religious belief, you will be required to apply for a reasonable accommodation within the first 10 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. In some states and roles, you may be required to have an approved reasonable accommodation before you can begin to actively work. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications
- Prior related healthcare Revenue Cycle experience,
preferably within Collections and Billing
-Knowledge of healthcare billing, collections practices,
and/or infusion service
-Exceptional communication, customer service skills, and
phone etiquette
-Familiarity with customer service expectations, computer
processing, and medical and billing office terminology

Education
Verifiable High School diploma or GED is 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. See Job Description

Phoenix, Arizona

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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