Pharmacy Billing Coordinator, CVS Health

Pharmacy Billing Coordinator

CVS Health

Location:

United States, Monroeville

Category:

Customer Service

Contract Type:

Employment contract

Salary:

17.00 - 28.46 USD / Hour

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Job Description:

CVS Health Specialty Pharmacy is looking for a full-time Insurance Billing Coordinator to ensure timely and accurate billing for outstanding claims while providing excellent customer service in a fast-paced environment. This role involves third-party insurance claim billing, resolving claim denials, maintaining patient demographic information, and working collaboratively to address billing issues.

Job Responsibility:

Third party insurance claim billing associated with the dispensing of prescription medication using the bill method required by the payer
Transmit or submit claims (electronic or paper) to insurance payers for reimbursement
Resolve claim rejections and denials that may have resulted from incorrect or incomplete information
Contact insurance companies, account managers, and patients for assistance in claim billing resolution
Maintain supporting chronological notes that detail action taken to resolve outstanding account balances
Maintain patient demographic information and data collection systems, including all billing reports, work queues or rejections according to payer and company policy guidelines
Research and respond by telephone, via the internet and in writing to insurance companies and governmental payers regarding billing questions, issues and problems
Contact patients and Physician’s offices as well as insurance companies as needed in order to expedite claims processing.

Requirements:

1+ years of Healthcare Insurance related experience
Experience using Microsoft Office products specifically Excel, Outlook, and Word
Must be able to commute to the Monroeville, PA office.

Nice to have:

Insurance billing or collections experience
Customer 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 environment
Attention to detail
Ability to utilize analytical skills
Ability to navigate through multiple tasks simultaneously and prioritize based on importance while displaying strong attention to detail
Ability to communicate with clientele in a professional manner both verbally and written.

What we offer:

Medical, dental, and vision benefits
Company’s 401(k) retirement savings plan
Employee Stock Purchase Plan
Fully-paid term life insurance plan
Short-term and long term disability benefits
Paid Time Off (PTO) or vacation pay
Paid holidays
Education assistance
Free development courses
CVS store discount
Discount programs with participating partners.

Additional Information:

Job Posted:

March 19, 2025

Expiration:

April 25, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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