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Medical Billing Specialist, Medicaid

Expired Job

CVS Health Phoenix , AZ 85002

Posted 6 days ago

Job Description:

Position Summary:

CVS Health has an exciting opportunity for you to join a growing team at our brand new Phoenix facility as an Accounts Receivable Specialist! You will sit on a dynamic team that supports our Infusion Services patients. This role is in an ever changing, energizing environment that provides you with the opportunity for learning new skills and continuing to grow your career.

In this role, you will support our Accounts Receivable (A/R) Department with various A/R functions for Specialty Infusion. You will handle the completion of Patient Financial Services (PFS) tasks, including patient and payer follow up as needed. The PFS tasks you will complete include billing and/or accounts receivable follow-up while maintaining quality and productivity requirements. You will build and submit accurate and timely claims to payers, as well as research and analyze unpaid claims. You will be assisting in the resolution of denials, partial payments, and payment variances.

In the Accounts Receivable role you will:

  • Maintain and release all-ship-verified claims for all third party claim accounts within established time frame as assigned Resolve errors and make claim edits assigned in work queues

  • Follow work list prioritization of accounts for resolving accounts and/or submitting claims

  • Contact payers and patients when necessary for PFS processes Request relevant information from appropriate

  • Revenue Cycle and clinical departments as required through the course of the PFS processes

  • Make necessary adjustments to patient demographic, insurance, and account balance information

  • Complete A/R adjustments and request other adjustments where permitted and appropriate

  • Adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements), and "leading practices"

Required Qualifications

Minimum of 18 months of experience in the following:

  • Performing healthcare reimbursement, medical insurance billing or collections

  • Working with Microsoft Office, specifically Excel, Outlook and Word

Preferred Qualifications

  • Familiarity with Medicaid or Managed Medicaid

Education

Verifiable High School diploma or GED is required.

Business Overview

Coram CVS/specialty infusion services is a leading national provider of specialty home infusion and specialty pharmacy services. The integration of Coram into CVS Health enables the company to offer enhanced, comprehensive infusion services; expanded payer access; and a national network of more than 85 locations, including 65 ambulatory infusion suites. Providing infusion therapies and services to over 20,000 patients each month, Coram cares for patients through all phases of their healthcare continuum including clinical and compliance monitoring, and individual patient counseling. CVS Health, through our unmatched breadth of service offerings, is the nation's largest pharmacy health care provider transforming the delivery of health care services in the U.S. Our energetic and service-oriented colleagues embrace fresh ideas, new perspectives, a diversity of experiences, and a dedication to service to meet the needs of the many people and businesses relying on us each day.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, 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

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking Advice and Counsel

CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/


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VIEW JOBS 12/5/2018 12:00:00 AM 2019-03-05T00:00 Job Description In this role, you will support our Accounts Receivable (A/R) Department with various A/R functions for Specialty Infusion. You will handle the completion of Patient Financial Services (PFS) tasks, including patient and payer follow up as needed. The PFS tasks you will complete include billing and/or accounts receivable follow-up while maintaining quality and productivity requirements. You will build and submit accurate and timely claims to payers, as well as research and analyze unpaid claims. You will be assisting in the resolution of denials, partial payments, and payment variances. Required Qualifications * 18 months of experience in healthcare reimbursement, medical billing, collections or claims processing * 1+ years working with Microsoft Office, specifically Excel, Outlook and Word Preferred Qualifications * Demonstrated experience working with third parties or health insurance payers * Comfortable crafting professional communications (emails, appeals letters, requests for information) to insurance companies and following through for resolution Education Verifiable High School diploma or GED is required. Business Overview Coram CVS/specialty infusion services is a leading national provider of specialty home infusion and specialty pharmacy services. The integration of Coram into CVS Health enables the company to offer enhanced, comprehensive infusion services; expanded payer access; and a national network of more than 85 locations, including 65 ambulatory infusion suites. Providing infusion therapies and services to over 20,000 patients each month, Coram cares for patients through all phases of their healthcare continuum including clinical and compliance monitoring, and individual patient counseling. CVS Health, through our unmatched breadth of service offerings, is the nation's largest pharmacy health care provider transforming the delivery of health care services in the U.S. Our energetic and service-oriented colleagues embrace fresh ideas, new perspectives, a diversity of experiences, and a dedication to service to meet the needs of the many people and businesses relying on us each day. CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, 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 Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking Advice and Counsel CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process. For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/ CVS Health Phoenix AZ

Medical Billing Specialist, Medicaid

Expired Job

CVS Health