Medical Billing Specialist
CVS Pharmacy - Phoenix, AZ
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Job DescriptionBecome a part of our growing team at our Phoenix facility 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 accounts receivable follow-up with payers 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. Additional responsibilities of the Medical Billing Specialist 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 appropriate - Comply with and adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements), and "leading practicesRequired Qualifications18+ months performing healthcare reimbursement, medical insurance billing or related work-1+ years working with Microsoft Office, specifically Excel, Outlook and WordCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred QualificationsPrior related healthcare Revenue Cycle experience, preferably within Collections and Billing-Knowledge of healthcare billing, collections practices, and/or infusion service-Exceptional communication, customer service skills, and phone etiquette -Familiarity with customer service expectations, computer processing, and medical and billing office terminologyEducationVerifiable High School diploma or equivalent.Business OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Created: 2024-09-07