Pharmacy Billing Coordinator

We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.

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.

Key Responsibilities:

• Manage third-party insurance claim billing associated with dispensing medication
• Submit claims to insurance payors for reimbursement
• Resolve insurance problems and patient issues resulting from incorrect or incomplete information
• Maintain supporting notes detailing actions taken to resolve billing edits
• Update patient demographic and insurance information
• Complete billing reports and queues according to payer and company policy guidelines
• Research and respond to insurance companies and governmental payors regarding billing issues
• Contact patients, physician's offices or insurance carriers to expedite billing claims

Required Qualifications:

• 1+ years of Healthcare Insurance-related experience
• Experience using Microsoft Office products, specifically Excel, Outlook, and Word
• Ability to commute to the Monroeville, PA office

Preferred Qualifications:

• Insurance billing or collections experience
• Customer service experience in a healthcare environment
• Experience working in a healthcare reimbursement system
• Effective customer service skills and experience working in a team environment
• Attention to detail and analytical skills
• Ability to navigate multiple tasks simultaneously and prioritize based on importance
• Professional communication skills, both verbal and written

Education:

• Verifiable High School Diploma or GED required

Anticipated Weekly Hours: 40

Time Type: Full-time

Pay Range: $17.00 - $28.46

Benefits: 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.