May 30, 2020

Medical Billing Specialist

  • Professional Diversity Network
  • Weirton, WV 26062, USA
Retail

Job Description

CVS Health

Job Description* Please note location of position is onsite at the following address: 2222 Ewing Road, Coraopolis, PA (Moon Township).As a Medical Billing Specialist for our Infusion Accounts Receivable (A/R) Department, you will be responsible for completing Patient Financial Services (PFS) tasks such as billing and/or collection activity on our Medicare claims and maintaining quality and productivity requirements as outlined in the position performance expectations. You will process and submit accurate and timely claims to payers, analyze and research unpaid claims, and assist in the resolution of denials, partial payments, and payment variances. Duties include:* Maintain and release all-ship-verified claims for all third party claim (commercial or government) accounts within established time frame as assigned * Resolve errors and make claim edits assigned in work queues * Follow work list prioritization of accounts as established by department policies and procedures 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 where permitted and appropriate; request other adjustments where permitted and appropriateRequired Qualifications- 6+ months of experience in collections or billing- Working knowledge of Microsoft Office, specifically Excel, Outlook and Word.- Good communication, customer service skills, and phone etiquettePreferred Qualifications- Prior related reimbursement experience with Medicare Part B - Knowledge of healthcare billing and collections experience with home infusion or DME services- Familiarity with customer service expectations, computer processing, and medical and billing office terminologyEducation* High School DiplomaBusiness OverviewIt'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. At CVS Health, we work every day to help people on their path to better health. Never has it been more important for us to deliver on our purpose to our valued customers, patients, members, and employees. With a presence in communities across the country, CVS Health colleagues are and will continue to be a critical piece of the country's health care solution. The health and safety of our employees, patients, customers, and members is our top priority as we face the impact of COVID-19 together. If you would like to learn about the actions we are taking as a company as we learn more about COVID-19 and its spread, we encourage you to visit our COVID-19 resource center at https://cvshealth.com/covid-19 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. Please note that we only accept applications for employment via this site. We provide reasonable accommodations to qualified individuals with disabilities. If you need to request an accommodation, a qualified interpreter, written information in other formats, translation or other services, please contact our Advice and Counsel Reasonable Accommodations team by emailing Advice and Counsel Reasonable Accommodations team or calling 877-805-9511. 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, contact the Modern Hire Help Desk at 1-877-451-1695 or cvs_support@modernhire.com.PDN-1236365BR

Apply Now