Pharmacy Insurance Claims & Billing Specialist

CVS Health; 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

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.