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Pharmacy Billing Coordinator

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Monroeville

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Category:
Customer Service

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Contract Type:
Employment contract

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Salary:

17.00 - 28.46 USD / Hour

Job Description:

CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity for a full-time Insurance Billing Coordinator. The role involves ensuring timely and accurate billing for outstanding claims while providing excellent customer service to patients, healthcare professionals, and insurance carriers. This position is located at the Monroeville facility, which offers free parking.

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 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
  • 401(k) retirement savings plan
  • Employee Stock Purchase Plan
  • Fully-paid term life insurance plan
  • Short-term and long-term disability benefits
  • Numerous well-being programs
  • Education assistance
  • Free development courses
  • CVS store discount
  • Discount programs with participating partners
  • Paid Time Off (PTO)
  • Paid holidays

Additional Information:

Job Posted:
March 18, 2025

Expiration:
April 27, 2025

Employment Type:
Fulltime
Work Type:
Hybrid work
Job Link Share:
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