Job Description Join the Coram/CVS Health team as a Suspended Billing Rep and you will support the Jackson Enteral Nutrition Center by performing timely reimbursement follow-up on patient accounts. Ensure that patient accounts do not go into a suspended billing status, potentially resulting in outside account collections. Partner with our billing centers to ensure that patient accounts are updated and all information is on file in order to be able to process the claim. This is not a medical billing position.
As a Suspended Billing Rep you will... * Follow-up on outstanding Certificates of Medical Necessity (CMN), Letters of Medical Necessity (LMN), prescriptions, renewals, expiring authorizations and other missing medical documentation to ensure that a patient's account does not go into a suspended status. * Enter prescription information into a database once received by a physician and escalate any aged prescriptions to the manager for resolution. * Update insurance providers when a change to a patient account has occurred and work with the insurance company to obtain new authorizations for service. * Communicate with patients, physicians and insurance companies to update them on status, orders and missing documentation.
This is a full-time, permanent, benefited position and is NOT through an agency. .
Challenge your healthcare training or current billing knowledge and customer services skills to make a difference in a patient's life by ensuring all supporting documentation has been completed and submitted to insurance companies for proper processing and payment. Individuals who can balance compassion and kindness with professionalism and customer service will thrive in this position. Become part of the CVS Health family by joining a growing sector of the healthcare industry, offering a rewarding career and opportunity for advancement.
Coram CVS/specialty infusion services is a Fortune 7 company and national leader in the home infusion and enteral fields. This is uniquely rewarding opportunity putting your skills and experiences to work supporting an innovative specialty pharmacy operation.
Learn more about us: https://www.youtube.com/user/CoramHealthcare or https://www.youtube.com/user/CVSPharmacyVideos
Required Qualifications * 1 year minimum experience medical billing or collections work or experience working with accounts payable (A/P) or accounts receivable (A/R). *1 year minimum experience working in a customer service environment. * Experience working in a healthcare environment. * Experience working in Microsoft Office, specifically Excel, Outlook and Word.
Preferred Qualifications * Strong data entry skills; typing speed of 50+ WPM (words per minute). * Home infusion, enteral or durable medical equipment (DME) experience. * Call center experience.
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.
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