CVS Health
CVS Health
CVS Health este o companie americană din domeniul sănătății, care activează în servicii medicale, asigurări de sănătate, gestionarea beneficiilor farmaceutice și farmacii cu vânzare cu amănuntul. Prin companii precum Aetna și CVS Caremark, aceasta sprijină acoperirea medicală, accesul la medicamente eliberate pe bază de rețetă, gestionarea afecțiunilor, medicamentele specializate și serviciile de farmacie prin comenzi prin poștă. Farmaciile sale de proximitate și serviciile extinse de îngrijire sunt concepute pentru a-i ajuta pe oameni să acceseze mai ușor și mai accesibil servicii medicale esențiale. CVS Health reunește asigurările, farmacia și serviciile de sănătate pentru a sprijini persoanele și comunitățile pe tot parcursul experienței lor de îngrijire.

Medical Billing Coordinator, Revenue Cycle — CVS Health

Process insurance claims for CVS Health Specialty Pharmacy and help resolve billing issues to support reimbursement. This hybrid role is based in Monroeville, Pennsylvania.

Descriere

  • Bill third-party payers for dispensed medications using each payer’s required method.
  • Submit electronic and paper claims to insurers for reimbursement.
  • Resolve insurance and patient billing issues caused by missing or incorrect information, therapy changes, or pharmacy and shipping errors.
  • Keep chronological notes of actions taken to resolve billing edits.
  • Maintain patient demographic and insurance records, along with billing reports, queues, and diversions, in line with payer and company policies.
  • Research and respond to billing questions from insurers and government payers by phone, online, and in writing.
  • Contact patients, physician offices, or insurers as needed to move claims forward.
  • Deliver accurate, timely billing and customer service to patients, healthcare professionals, and insurers.
  • Contribute to the billing and reimbursement team in a fast-paced, collaborative environment.

Cerințe

  • At least one year of healthcare insurance billing experience.
  • Experience with Microsoft Office, especially Excel, Outlook, and Word.
  • Ability to commute to the Monroeville, Pennsylvania office.
  • Experience in insurance billing or collections.
  • Healthcare customer service experience.
  • Experience using a healthcare reimbursement system.
  • Strong customer service skills and the ability to work well on a team.
  • Careful attention to detail.
  • Ability to apply analytical skills.
  • Professional verbal and written communication skills with clients.
  • Verifiable high school diploma or GED.

Beneficii

  • Free parking.
  • CVS Health bonus, commission, or short-term incentive program in addition to base pay.
  • Medical coverage.
  • Dental coverage.
  • Vision coverage.
  • Paid time off.
  • Retirement savings options.
  • Wellness programs.
  • Additional resources for physical, emotional, and financial well-being, subject to eligibility.

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