Hybrid Medical Billing Specialist I – Claims

Energy Jobline ZR; Monroeville (Allegheny County); Hybrid; USD 23,000 - 32,000; Full time

Job summary

CVS Health is seeking a Billing Specialist I in Monroeville, PA to qualify, prepare and submit claims to Medicare Part B, Major Medical and Medicaid. The role requires interaction with LTC facility staff, Omnicare pharmacy operations, prescribers, third‑party payers, patients, and their representatives to resolve claims and ensure compliant billing.

The position is 6 months with potential extension, offering $19.49 per hour on W2, Monday through Friday 8:00 a.m.

Qualifications

• Minimum 1 year experience performing healthcare reimbursement, medical insurance/billing or related work.
• Minimum 1 year experience working with healthcare reimbursement systems.
• Experience with MS Word, Excel and Outlook.

Responsibilities

• Qualify, prepare and submit claims to Medicare Part B, Major Medical and Medicaid.
• Collaborate with LTC facility staff, pharmacy ops, prescribers, payers, and patients.
• Use multiple systems to retrieve documents and resolve claims.
• Ensure timely, accurate billing and compliance with processes.

Skills

Healthcare billing

Communication

Prioritization

Customer service

Education

High School diploma or GED

Tools

Excel

MS Word

Outlook

Job description

CVS Health is seeking a Billing Specialist I in Monroeville, PA to qualify, prepare and submit claims to Medicare Part B, Major Medical and Medicaid. The role requires interaction with LTC facility staff, Omnicare pharmacy operations, prescribers, third‑party payers, patients, and their representatives to resolve claims and ensure compliant billing.

The position is 6 months with potential extension, offering $19.49 per hour on W2, Monday through Friday 8:00 a.m.