Job Description

Job DescriptionCVS Health Specialty Pharmacy a mail service pharmacy in the Monroeville area has an opportunity available for a full-time billing/collections representative. The Pharmacy Billing/Collections Representative will ensure timely and accurate billing for unbilled claims and ensure account payment for outstanding balances while demonstrating excellent customer service to patients healthcare professionals and insurance carriers. Key Responsibilities of the Pharmacy Billing/Collections Representative:Third Party insurance claim billing and follow up associated with the dispensing of prescription medication using the bill method required by the payer.Transmit or submit claims (paper electronic) to insurance payers for reimbursement.Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information therapy changes and pharmacy or shipping errors.Maintain supporting chronological notes that detail actions taken to resolve outstanding unbilled claims.Maintain patient demographic information in data collections systems.Work all billing reports and queues while remaining in accordance with payer and company policy guidelines. Research and respond by telephone via the internet and in writing to patients physicians offices insurance companies and governmental payers regarding billing issues and problems as well to expedite claims processing.Pay RangeThe typical pay range for this role is:Minimum: 17.00Maximum: 27.16Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors including location.Required Qualifications1+ year(s) experience performing healthcare reimbursement medical insurance billing or related work.Preferred QualificationsCustomer service in healthcare environment.Experience working with a healthcare reimbursement system preferred.Ability to communicate with clientele in a professional manner; both verbally and written.Attention to detail.Ability to utilize analytical skills.Effective customer service skills and experience that shows ability to work in a team environment.Experience in MS Office specifically Excel Outlook and WordEducationVerifiable 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.