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.

Responsibilities:

  • 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.

Education

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 cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Billing Specialist

Critical Care Systems

Posted 5 days ago

VIEW JOBS 5/28/2020 12:00:00 AM 2020-08-26T00:00 Job Description Summary:Process claims and invoices. Job Description: Job Responsibilities: * Submits timely, accurate invoices to payer for products and services provided. * Correctly determines quantities and prices for drugs billed. * Verifies that the services and products are correctly authorized and that required documentation is on file prior to billing. * Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided. * Ensures that all required documentation for billing is completed and accurate prior to claim submission. * Adheres to Regulatory / Payor Guidelines and policies & procedures. Supervisory Responsibilities: None Basic Education and/or Experience Requirements: High School Diploma/ GED. Basic Qualifications & Interests: * Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets). * Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions). Preferred Qualifications & Interests: Previous Infusion Reimbursement or Intake/Admissions experience. This job description is to be used as a guide for accomplishing Company and department objectives, and only covers the primary functions and responsibilities of the position. It is in no way to be construed as an all-encompassing list of duties. Option Care subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information. Posted: Apr 22, 2020 Critical Care Systems Machesney Park IL

Billing Specialist

CVS Health