Nov 13, 2019
CVS Health Job Description We have a great opportunity at our Eden Prairie Branch to launch a career in a pharmacy operation setting as a Pharmacy Technician - Medical Billing Specialist for Coram's Home Infusion Services. In this role, you will join a team that handles billing for our new National Council of Prescription Drug Programs (NCPDP) division. As a Pharmacy Technician - Medical Billing Specialist, you will be responsible for overseeing the accounts receivable process to ensure adherence to standards and performance to goals. The Billing team will ensure claims have been processed and reviewed in a timely fashion to guarantee payment for services rendered has been received. Qualified candidates must have excellent written and verbal customer service skills and advanced computer skills in order to interact with key stakeholders and patients. Challenge your newly acquired healthcare training or current billing knowledge and customer services skills to make a difference in a patient's life by ensuring claims are being submitted clean to payors as to not delay the reimbursement process. Key Responsibilities: * Ensure prescription drug dispenses are adjudicated successfully for payer claim approval and coordinates with pharmacy and intake teams to ensure paid claims are confirmed prior to delivery * Responsible for seeking override approval from payers on denied claims and coordinating with pharmacies to plan future shipments that prevent denials. * Contacts payers as required in order to resolve rejected NCPDP claims and performs data entry * Works collaboratively with the COE, branch and billing center to resolve NCPDP claim issues and participates in related audit and quality assurance activities as required. * Performs the billing of medications and or services as required for each subsequent dispense as outlined by the payor requirements. * Performs benefit and eligibility transaction as needed for patients prior to the start of care. * Communicates the patient co-payment or patient financial responsibility prior to or at the time of the delivery of care the branch staff. This is a full-time, permanent career that offers excellent Medical, Dental and Vision coverage, a competitive 401k, and additional benefits. With Coram/CVS Health, you'll have an exciting opportunity to utilize your administrative and customer service experience with a team who are passionate about making a difference in patient's lives. You can have an impact by providing the best care, education, and support to our patients, improving their overall quality of life! Coram/CVS Health is a Fortune 7 company and national leader in the home infusion and enteral nutrition fields. The word "Coram" derives from the Latin word "cor," meaning "heart"... and our dedication to our customers is truly from the heart. Do you want to learn more? Check out the videos below! https://www.youtube.com/user/CoramHealthcare or https://www.youtube.com/user/CVSPharmacyVideos Required Qualifications Pharmacy Technician license (National or Minnesota license required) Minimum 2-5 years similar work experience. Minimum one year of experience in medical billing or collections, accounts payable, or accounts receivable. Minimum one year of experience working with healthcare reimbursement systems. Excellent customer service orientation. Attention to details and excellent time management skills. Proficiency in Microsoft Office software - Word, Excel, and PowerPoint. Preferred Qualifications Associate Degree Medical Billing certification PDP or PBM billing in retail or home infusion Strong attention to detail. Ability to work in a team environment. Ability to work with a sense of urgency 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 firstname.lastname@example.org . For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.
Professional Diversity Network Eden Prairie, MN, USA Full-Time