Bring 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.Position Summary
CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity available for a full time Pharmacy Billing Representative . This role will ensure timely and accurate billing for unbilled claims and ensure account payment for outstanding balances while demonstrating excellent customer service to patients, healthcare professionals, and insurance carriers. As part of the Revenue Cycle team, you will work in a fast paced and team focused environment. We will support you by offering all the tools and resources you need to be successful in a collaborative team-based environment. Located in the Monroeville facility, this opportunity also provides free parking.

• Schedule: Monday-Friday 8:00AM-4:30PM EST (Flex Start after training)
• Hybrid Role
• Training: 2-3 weeks of training

• Third party insurance claim billing and follow up associated with the dispensing of prescription medication using the bill method required by the payer.
• Transmit or submit claims (paper, electronic) to insurance payers for reimbursement.
• Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes, and pharmacy or shipping errors.
• Maintain supporting chronological notes that detail actions taken to resolve outstanding unbilled claims.
• Maintain patient demographic information in data collections systems.
• Work all billing reports and queues while remaining in accordance with payer and company policy guidelines.
• Research and respond by telephone, via the internet, and in writing to patients, physician's offices, insurance companies, and governmental payers regarding billing issues and problems as well to expedite claims processing.

• 1+ year(s) experience performing healthcare reimbursement, medical insurance billing, collections, or related work.
• Must live within a 1 hour commute to the Monroeville, PA office.

• Billing/Collections experience.
• Customer service in healthcare environment.
• Experience working with a healthcare reimbursement system.
• Ability to communicate with clientele in a professional manner; both verbally and written.
• Attention to detail.
• Ability to utilize analytical skills.
• Effective customer service skills and experience that shows ability to work in a team environment.
• Experience in MS Office, specifically Excel, Outlook, and Word.

• Verifiable High School Diploma or GED required.