RepBilling OCR
CVS Pharmacy - Pittsburgh, PA
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Job DescriptionCompletes all daily responsibilities for assigned Facility customers. AuditingPay RangeThe typical pay range for this role is:Minimum: 17.00Maximum: 27.16Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required Qualifications Complete all assigned daily tasks for specified portfolio of Facilities including but not limited to:o Pre-billing report review and correctiono Maintain Facility Fact Sheets.o Meet all billing deadlines in accordance with Facility expectations.o Complete all post-billing dispute resolution and Credit Memo review.o Work with local CBCs as needed to resolve all concerns.o Communicate ongoing problems/concerns related to report review or Customer Concerns to Supervisor.o Serve as primary contact person for Facility concerns as assigned by your portfolio.o See that all Facility calls/concerns are addressed thoroughly and timely.o Assist entire department as needed to ensure completion, accuracy, and meeting of Facility expectations in regards to all Facility billing functions.o Ensure all Compliance and SOX requirements are met. Provide feedback to Supervisor regarding ongoing issues/concerns and process improvement. Ensure appropriate, timely and professional communications occurs with admissions coordinator, facility business office, facility Director of Nursing and/or facility administrator as needed. Maintain customer satisfaction through responses to customer billing inquiries. May include various levels of customer interaction and intervention for local, chain, regional and national account customers as directed by upper management along with coordination with Billing Division. Overtime may be required and/or expected. Work and partner with other internal departments. Follow all applicable government regulations including HIPAA. Participate in projects and/or management meetings. Other duties as assigned; job duties may vary by locationCOVID 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 Qualifications Bachelor's Degree Healthcare industry experience. Minimum of 1-3 years of experience working in an office/business setting. Proficient in Microsoft Office, including but not limited to Word and Excel.Education High School Diploma or equivalentBusiness OverviewBring your heart to CVS Health Every 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. 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.
Created: 2024-10-19