Job Description As a Billing Representative in our LTC Pharmacy Billing Department, you will be responsible for providing daily operational support for an assigned Revenue Cycle team to meet performance goals and enhance process efficiencies. You will be a part of a team of Billing representatives that are focused on achieving operational efficiencies & ensuring compliance with established laws, regulations, policies and procedures.
In addition, the Billing Representative will:
- Support our billing processes for facility and private pay customers in OmniDX or Oasis. - Support collection and reimbursement strategies and initiatives to improve operations and results. - Suggest changes to department policies and procedures as appropriate - Drive for productivity goals, push for daily progress and achievement, and recommend measures for improvement. - Learn all billing systems and accurately respond to questions regarding client invoicing and adjustments while ensuring compliance. - Engage in training for new employees and provide ongoing training as needed - Complete semi-annual & annual performance assessment and provide timely feedback to mgmt - Support reporting that addresses billing variances, denials and payment discrepancies on a timely basis.
Required Qualifications 1+ years of experience with Revenue Cycle including but not limited to credits, debits, invoicing and verifying information.
- 1+ years of experience with computer operations using Microsoft Office Suite
Preferred Qualifications Pharmacy billing preferred. - Ability to learn multiple computer systems. - Research skills. - Minimum of 1-3 years of experience working in an office/business setting. - Prescription third party claims management experience. - College degree preferred. - Basic knowledge of insurance procedures - Ability to work in a fast paced,rapidly changing environment. - Excellent verbal and written communication as well as listening skills. - Intermediate computer and typing skills.
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. As a CVS Health colleague, you'll be at the center of it all.
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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