Billing Specialist

CVS Health Machesney Park , IL 61115

Posted 2 months ago

Job Description:

As a Billing Specialist, you will work in a pharmacy operation setting at our Patient Financial Service Centers by working to submit patient's claims to both commercial and government payers. You will work out of a queue and manage the billing cycle process,processing account reconciliations and adjustments on a weekly basis. You will be ensuring claims are being submitted clean to payers as to not delay the reimbursement process.

As a Billing Specialist you will follow up on all claims that are missing supporting documentation or pending authorizations in order to be processed. You will ensure that all dates of service and services rendered match the Explanation of Benefits (EOB) and ultimately submit the claims to payers for payment. You will help to determine which claims are un-billable due to missing documentation and perform adjustments on accounts as necessary.


  • Maintain a strong attention to detail.

  • Excellent customer service skills.

  • Have the ability to work in a team environment.

  • Work with a sense of urgency.

Required Qualifications

  • 1+ years of experience in a professional environment where you would have worked within Microsoft Office, specifically Excel, Outlook and Word.

Preferred Qualifications

  • Home infusion or durable medical equipment (DME) experience.

  • Experience medical billing or collections work or experience working with accounts payable (A/P) or accounts receivable (A/R).

  • Experience working with healthcare reimbursement systems.


Verifiable High School diploma or GED is required.

Business Overview

It's a new day in health care.

Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation's premier health innovation company. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health. Coram CVS/specialty infusion services is a leading national provider of specialty home infusion and specialty pharmacy services providing infusion therapies and services to over 20,000 patients each month.

We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.

CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.

If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.

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Billing Specialist

CVS Health