Pharmacy Billing & Reimbursement Specialist

CVS Health; Butler (Butler County); On-site; USD 23,000 - 39,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health in Monroeville, PA is seeking a full-time Pharmacy Billing Coordinator to ensure timely and accurate billing for insurance claims within a collaborative team. You will support patients, healthcare professionals, and payors while processing billing and resolving issues in a fast-paced environment.

The role requires a High School Diploma or GED and at least 1 year of healthcare insurance experience, with proficiency in Excel, Outlook and Word.

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.

Responsibilities

• Process third party insurance claim billing for dispensing medications using payer requirements.
• Transmit or submit claims (paper/electronic) to insurance payors for reimbursement.
• Resolve insurance problems and patient issues from billing errors or changes.
• Maintain supporting notes detailing actions to resolve billing edits.
• Maintain patient demographic and insurance information and data systems.
• Complete billing reports, queues, or diversions per payer and company policy.
• Research and respond to insurance and governmental payors by phone, web, or in writing.
• Contact patients, physician offices, or insurance carriers to expedite billing claims.

Skills

Attention to detail

Communication skills

Education

High School Diploma or GED

Tools

Excel

Outlook

Word

Job description

CVS Health in Monroeville, PA is seeking a full-time Pharmacy Billing Coordinator to ensure timely and accurate billing for insurance claims within a collaborative team. You will support patients, healthcare professionals, and payors while processing billing and resolving issues in a fast-paced environment.

The role requires a High School Diploma or GED and at least 1 year of healthcare insurance experience, with proficiency in Excel, Outlook and Word.