Experienced Pharmacy Insurance Billing Coordinator – Healthcare Reimbursement and Customer Service Expert

Introduction to CVS Health

At CVS Health, we are driven by 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. As a leader in the healthcare industry, we are dedicated to making a positive impact on the lives of our patients, customers, and communities. Our Heart At Work Behaviors support this purpose, empowering every employee to feel valued and play a vital role in transforming our culture and accelerating our ability to innovate and deliver solutions.

Job Overview

We are seeking an experienced and skilled Pharmacy Insurance Billing Coordinator to join our team in Monroeville, PA. As a key member of our billing and reimbursement team, you will be responsible for ensuring timely and accurate billing for outstanding claims, while providing excellent customer service to patients, healthcare professionals, and insurance carriers. This is a full-time, remote-based position that offers a competitive salary package, commensurate with experience, and a range of benefits that support your well-being and career growth.

Key Responsibilities

• 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

Essential Qualifications

• 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
• Verifiable High School Diploma or GED required

Preferred Qualifications

• Insurance billing or collections experience
• Customer service experience 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 and 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

Career Growth and Development

At CVS Health, we are committed to supporting the career growth and development of our employees. As a Pharmacy Insurance Billing Coordinator, you will have access to a range of training and development programs, including online courses, workshops, and conferences. You will also have the opportunity to work with experienced professionals who can provide guidance and mentorship as you advance in your career.

Work Environment and Company Culture

Our company culture is built on a foundation of respect, empathy, and inclusivity. We believe that our employees are our greatest asset, and we strive to create a work environment that is supportive, collaborative, and empowering. As a Pharmacy Insurance Billing Coordinator, you will be part of a dynamic and diverse team that is passionate about delivering exceptional customer service and making a positive impact on the lives of our patients and customers.

Compensation and Benefits

We offer a competitive salary package, commensurate with experience, and a range of benefits that support your well-being and career growth. These benefits include:

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Employee Stock Purchase Plan
• Term life insurance plan
• Short-term and long-term disability benefits
• Well-being programs and education assistance
• CVS store discount and discount programs with participating partners
• Paid Time Off (PTO) or vacation pay
• Paid holidays throughout the calendar year

Conclusion

If you are a motivated and detail-oriented individual with a passion for healthcare and customer service, we encourage you to apply for this exciting opportunity. As a Pharmacy Insurance Billing Coordinator at CVS Health, you will be part of a dynamic and diverse team that is dedicated to delivering exceptional customer service and making a positive impact on the lives of our patients and customers. Don't miss out on this opportunity to join our team and take your career to the next level. Apply now!