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workers will be training onsite and then it will be determined if they should stay on site or WFH pending performance


CVS Health, Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity available for a full-time billing/collections representative. The Pharmacy Billing/Collections 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.
Key Responsibilities of the Pharmacy Billing Representative:
•Third Party insurance claim billing and follow up associated with the dispensing of prescription medication using the bill method required by the payer.
•Transmit or submit claims (paper, electronic) to insurance payers for reimbursement.
•Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors.
•Maintain supporting chronological notes that detail actions taken to resolve outstanding unbilled claims.
•Maintain patient demographic information in data collections systems.
•Work all billing reports and queues while remaining in accordance with payer and company policy guidelines.
•Research and respond by telephone, via the internet and in writing to patients, physician’s offices, insurance companies and governmental payers regarding billing issues and problems as well to expedite claims processing.


Preferred Qualifications :
•Customer service in healthcare environment.
•Experience working with a healthcare reimbursement system preferred.
•Ability to communicate with clientele in a professional manner; both verbally and written.
•Attention to detail.
•Ability to utilize analytical skills.
•Effective customer service skills and experience that shows ability to work in a team environment.
•Experience in MS Office, specifically Excel, Outlook, and Word
Reference : Billing Specialist jobs

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Published at 18-02-2023
Viewed: 68 times