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Position Summary

CVS Health Specialty Pharmacy has an opportunity available for a full time Specialty Pharmacy Collections Coordinator. As a Copay Card Coordinator, you will ensure timely and accurate collection of outstanding Accounts Receivable. 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.

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. Work location may be hybrid with the potential to have some time at home based on performance and business need.

Role Overview

• Schedule: Monday-Friday 8:00AM-4:30PM EST (Flex Start after training)

• Hybrid Role

• Training: 2-3 weeks of training

What you will do

• Third party insurance claim billing associated with the dispensing medication and using the bill method required by the payer.

• Transmit or submit claims (paper/electronic) to payors for reimbursement.

• Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors.

• Maintaining supporting and chronological notes that detail action taken to resolve billing edits.

• Maintain patient demographic and insurance information and data collections systems, including billing reports, queues, or diversions according to payer and company policy guidelines.

• Research and respond to payors regarding billing issues or related questions by telephone or via the internet.

Required Qualifications

• 1+ year(s) experience performing pharmacy billing, collections, or related work.

• Must live within a 1-hour commute from Monroeville, PA (Hybrid Role).

Preferred Qualifications

• Experience using Microsoft Office products’ specifically Excel, Outlook, and Word

• Insurance billing or collections experience.

• Customer service in a healthcare environment.

• Experience working in a healthcare reimbursement system.

• 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 communicate with clientele in a professional manner; both verbally and written.

Education

• Verifiable High School Diploma or GED required.

Pay Range

The typical pay range for this role is:

$17.00 - $28.46

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 10/26/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are an equal opportunity and affirmative action employer. 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.