Medical Insurance Coordinator – Monroeville, PA (Hybrid Role)

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 Insurance Follow Up Representative! The primary responsibilities of a Medical Insurance Coordinator are to ensure timely and accurate account resolution for outstanding credit balances while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers.

Role Overview

Schedule: Monday-Friday 8:00-4:30PM EST (Flex Start)

Hybrid Model: 4 times a month in office and additional office days as needed.

What you will do

Responsible for all account review associated with the dispensing of prescription medication; maintain supporting chronological notes that detail action taken to resolve outstanding insurance and/or patient credit balances.

Maintains patient demographic information and data collection systems.

Complete all assigned work queues according to payer and company policy guidelines.

Work in a fast paced and team focused environment to ensure timely and accurate refunds to insurance providers and patients.

Research and respond to insurance companies and other third-party entities regarding overpayments and related questions by telephone, via the internet, and in writing.

Required Qualifications

1 years experience performing health care reimbursement, medical billing or insurance collections

1 years experience in Microsoft Office, specifically Excel, Outlook and Word.

Must live within 1 hour of Monroeville, PA office.

Preferred Qualifications

Experience with Specialty Pharmacy Billing/Collections

Problem resolution within healthcare reimbursement/claims.

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 Benefits | CVS Health (https://jobs.cvshealth.com/us/en/benefits)

We anticipate the application window for this opening will close on: 12/31/2024

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.