CVS Health
CVS Health
CVS Health je ameriško zdravstveno podjetje, ki deluje na področju zdravstvenih storitev, zdravstvenega zavarovanja, upravljanja lekarniških ugodnosti in maloprodajnih lekarn. Prek podjetij, kot sta Aetna in CVS Caremark, podpira zdravstveno kritje, dostop do zdravil na recept, obvladovanje zdravstvenih stanj, specializirana zdravila in lekarniške storitve naročanja po pošti. Njegove lokalne lekarne in širša ponudba zdravstvene oskrbe so zasnovane tako, da ljudem omogočajo udobnejši in cenovno dostopnejši dostop do nujno potrebne zdravstvene oskrbe. CVS Health združuje zavarovanje, lekarniške in zdravstvene storitve ter tako podpira posameznike in skupnosti skozi celotno pot njihove zdravstvene oskrbe.

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.

Opis

  • 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.

Zahteve

  • 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.

Ugodnosti

  • 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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