Pharmacy Billing Coordinator - Monroeville, PA (Hybrid)

CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. They are seeking a Pharmacy Billing Coordinator to ensure timely and accurate billing for outstanding claims while providing excellent customer service to patients and insurance carriers.

Responsibilities

• Third party insurance claim billing associated with the dispensing medication and using the bill method required by the payer
• Transmit or submit claims (paper/electronic) to insurance payors and other third parties for reimbursement
• Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information and therapy changes
• Maintain supporting and chronological notes that detail action taken to resolve billing edits
• Maintain patient demographic and insurance information and data collections systems, including all billing reports, work queues, or diversions according to payer and company policy guidelines
• Research and respond to insurance companies and governmental payors regarding billing issues or related questions by telephone, via the internet, and in writing
• Contact patients, physician's offices or insurance carriers as needed in order to expedite billing claims

Skills

• 1 year of Healthcare Insurance Billing or related experience
• Customer service skills with the ability to work in a team environment
• Experience using Microsoft Office products specifically Excel, Outlook, and Word
• Must live within a 1-hour commute from Monroeville, PA
• Verifiable High School Diploma or GED
• Insurance billing or collections experience
• Ability to prioritize daily tasks
• 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
• Working knowledge of medical terminology
• Attention to detail
• Effective problem solving and decision-making skills
• Ability to communicate with clientele in a professional manner; both verbally and written

Benefits

• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings
• Tobacco cessation and weight management programs
• Confidential counseling and financial coaching
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access

Company Overview