Revenue Cycle Coordinator
CVS Pharmacy - Monroeville, PA
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Job DescriptionCVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity available for a full time Medical Collections Representative. As a Medical Collections Representative, . As part of the billing and reimbursement team, you will work in a fast paced and team focused environment to ensure timely and accurate billing to insurance providers. We will support you by offering all the tools and resources you need to be successful in a collaborative team-based environment. Key Responsibilities of the Medicare Collections Representative:"• Third party follow-up associated with the dispensing of prescription medication via telephone, Internet, and in writing "• Emphasis on following up with Medicare payers via phone, fax, Provider Portals, internet and mail."• Excellent telephone manners and communication skills with payers, patient, co-workers and your management team."• Resolve issues with nonpayment of invoices due to insurance problems that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors"• Maintain supporting chronological notes that detail action taken to resolve outstanding account balances"• Maintain patient demographic information and data collection systems, including all billing/collection reports, queues, or diversions while remaining in accordance with payer and company policy guidelines"• Research and respond by telephone, via the internet and in writing to Medicare regarding collection issues and problems"• Contact patients and Physician's offices as well as Medicare as needed in order to expedite claims processing"• Bring updates to leadership team and team meetings as warranted.Pay RangeThe typical pay range for this role is:Minimum: 17.00Maximum: 27.90Please 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"• 1 or more years of healthcare Insurance, medical insurance billing and/or insurance collections experience "• 1 or more years of experience using Microsoft Office products' specifically Excel, Outlook and Word.Preferred Qualifications"• Experience in Insurance follow up "• 1 year of Medicare experience"• Effective customer service skills and experience that shows ability to work in a team environment"• Attention to detail "• Ability to utilize analytical skills "• Ability to navigate through multiple tasks simultaneously and prioritize based on importance while displaying strong attention to detail"• Ability to communicate with clientele in a professional manner; both verbally and written"• Ability to manage simultaneous projects and prioritize accounts in a fast-paced environment."• Strong attention to detail."• Ability to work both independently and collaboratively with a team environment."• Able to meet deadlines."• Excellent problem-solving skills."• Computer Skills and strong typing proficiency."• Confident decision maker.EducationVerifiable High School Diploma or GED required.Business 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: 2024-09-07