01 Jun
Medical Billing Representative
Pennsylvania, Monroeville , 15146 Monroeville USA

Job DescriptionCVS 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: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 reimbursementResolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errorsMaintaining supporting and chronological notes that detail action taken to resolve billing edits.Maintain patient demographic and insurance information and data collections systems, including allbilling reports, queues, or diversions according to payer and company policy guidelinesResearch 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 claimsLocated in the Monroeville Facility, this opportunity also provides free parking.Required Qualifications18 months Healthcare Insurance Billing related experience.Experience using Microsoft Office products’ specifically Excel, Outlook and Word.COVID RequirementsCOVID-19 Vaccination RequirementCVS 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 QualificationsInsurance billing or collections experienceCustomer 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 environmentAttention to detail Ability to utilize analytical skills Ability to communicate with clientele in a professional manner; both verbally and writtenEducationVerifiable High School Diploma or GED required.Business OverviewBring your heart to CVS HealthEvery 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.

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