Medical Billing Specialist- Hybrid in Monroeville

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

Job DescriptionJob Description

Here are the job details for your review:

Job Title: Billing Specialist I

Client: CVS Health

Location: 101-105 Mall Boulevard Monroeville PA USA 15146

Duration: 6 Months (Potential for Extension)

Pay Rate: $19.49/HR on W2

Schedule: Monday-Friday 8am to 4:30pm

Rescreen questions:

• City, State at top of resume


• Do you have medical or pharmacy billing experience? If yes, tell me about it.


• How far are you from the Monroeville, PA office?


• Do you have MS Excel experience? If so, how much experience and what are you comfortable doing in Excel?


• Hybrid - Work location may be hybrid with the potential to have some time at home based on performance and business need.


• Location: Must be 1 hour from Monroeville PA


• Do you have Minimum 1 year experience performing healthcare reimbursement, medical insurance/billing or related work. Do you have Minimum 1 year experience working with


• Hybrid - Work location may be hybrid with the potential to have some time at home based on performance and business need.


• The HL will be conducting interviews via TEAMS video conference.

Safety Sensitive

The Pharmacy Billing 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.

This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices.

Summary:

Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. Individual must work with LTC facility staff, Omnicare pharmacy operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors. This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices.

Duties:

• Minimum 1 year experience performing healthcare reimbursement, medical insurance/billing or related work.


• Minimum 1 year experience working with healthcare reimbursement systems.


• Ability to prioritize daily tasks.


• Working knowledge of medical terminology.


• Customer service skills with the ability to work in a team environment.


• Experience in MS Word, Excel and Outlook.

Experience:

Minimum (Required) Qualifications: (must be met in order to perform the job at the required level) Entry level position; 0-2 years of pharmacy billing experience Strong communication, interpersonal, and prioritization skills Must be highly organized and detail-oriented. Ability to work in a fast paced, rapidly changing environment Good computer skills requiring basic knowledge of Microsoft Word, Excel, PowerPoint, Outlook and good typing skills.

Education:

Verifiable High School diploma or GED is required.