Pharmacy Billing Coordinator - Monroeville, PA (Hybrid)

9025 CVS Shared Services Resources LLC; Monroeville (Allegheny County); On-site; USD 23,000 - 39,000; Full time

Job summary

CVS Health Specialty Pharmacy in Monroeville, PA is hiring a full-time Pharmacy Billing Coordinator. You will ensure timely, accurate billing for claims and provide excellent service to patients, providers, and insurers.

Work in a fast-paced, team-oriented environment with available tools and resources to succeed in reimbursement activities. Key duties include submitting claims, resolving payer issues, maintaining notes and data, and generating billing reports.

Qualifications

• 1+ years of healthcare insurance related experience.
• Proficient in Microsoft Office: Excel, Outlook and Word.
• Must be able to commute to the Monroeville, PA office.

Responsibilities

• Third party insurance claim billing for dispensing medications.
• Submit claims to insurance payors (paper/electronic).
• Resolve insurance and patient issues from billing errors or therapy changes.
• Maintain billing notes and demographic/insurance data.
• Complete billing reports and queues per policy guidelines.
• Research and respond to payors regarding billing questions by phone, internet, or mail.
• Contact patients, physicians, or insurers to expedite billing.

Skills

Healthcare insurance experience

Microsoft Excel

Outlook

Word

Education

High school diploma or GED

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity available for a full time Pharmacy Billing Coordinator. As a Pharmacy Billing Coordinator, you will ensure timely and accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. As part of the billing and reimbursement team, you will work in a fast paced and team focused environment to ensure timely and accurate billing to insurance providers. We will support you by offering all the tools and resources you need to be successful in a collaborative team based environment. Located in the Monroeville facility, this opportunity also provides free parking.

Key Responsibilities of the Pharmacy Billing Coordinator:

• 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 for reimbursement.
• Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors.
• Maintaining supporting and chronological notes that detail action taken to resolve billing edits.
• Maintain patient demographic and insurance information and data collections systems, including all.
• Complete billing reports, 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.

Required 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.

Preferred Qualifications

• Insurance billing or collections experience.
• 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.
• Attention to detail.
• 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.

Education

Verifiable High School Diploma or GED required.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $17.00 - $28.46 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/30/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people.

Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.