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CVS Health

Runs pharmacies, health plans and clinics

Medical Insurance Collections Coordinator

InsuranceConfirmed live in the last 24 hours
Full-time

About the Job

Requirements

  • At least 1 year of healthcare insurance-related experience.
  • Experience using Microsoft Office products, specifically Excel, Outlook, and Word.
  • Must be able to commute to the Monroeville, PA office.
  • A verifiable high school diploma or GED is required.

Responsibilities

  • Follow up with third parties by telephone, internet, and in writing regarding dispensing prescription medication.
  • Follow up on unpaid, recouped, and underpaid claims.
  • Resolve invoice nonpayment issues arising from insurance problems, including incorrect or incomplete information, therapy changes, and pharmacy or shipping errors.
  • Maintain chronological supporting notes documenting actions taken to resolve outstanding account balances.
  • Maintain patient demographic information and data collection systems.
  • Research and respond to insurance companies and governmental payers by telephone, internet, and in writing about collection issues and problems.
  • Contact patients, physician offices, and insurance companies as needed to expedite claims processing.

Desired Qualifications

  • Insurance billing or collections experience.
  • Customer service experience in a healthcare environment.
  • Experience working in a healthcare reimbursement system.
  • Effective customer service skills and experience demonstrating the ability to work in a team environment.
  • Attention to detail.
  • Ability to use analytical skills.
  • Ability to navigate multiple tasks simultaneously and prioritize based on importance while maintaining attention to detail.
  • Ability to communicate professionally with clientele, both verbally and in writing.

About the Company

CVS Health

Runs pharmacies, health plans and clinics

CVS Health runs pharmacies, health insurance plans and medical clinics for individuals, employers and government programs across the United States. Its businesses include CVS Pharmacy, the Aetna insurer and Caremark, which manages prescription coverage and negotiates drug prices for health plans. Patients fill prescriptions in stores or by mail and receive care through walk-in clinics, primary care centers and home visits. The company earns money from prescription sales, insurance premiums, plan administration fees and clinical services, combining coverage with places to obtain treatment. Its first store opened in 1963, and its headquarters are in Woonsocket, Rhode Island.

Company size
10,001+
Company stage
IPO
Headquarters
Woonsocket, Rhode Island
Founded
1963

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