CVS Health

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Medical Billing Specialist

at CVS Health

Posted: 9/12/2019
Job Reference #: 1039945BR
Keywords: billing

Job Description

Job Description
Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B and Medicaid. Individual must work with long term care facility staff, Omnicare pharmacy operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors. This position requires work within several different pharmacy dispensing systems and web based billing portals and software programs. Billers must obtain supporting clinical and non-clinical information to perform coverage criteria review. Billers must verify valid dispensing orders for all new and refill orders and work claims through to resolution to ensure compliant, timely and accurate billing.

3rd shift (hours could vary between 10:30p-7a, 11p-7:30a or midnight - 8:30a)

Required Qualifications
* Excellent computer skills requiring knowledge of Microsoft Word, Excel, PowerPoint, Outlook and fast typing skills with minimal errors
* Strong verbal and written communication, interpersonal, and prioritization skills
* Must be highly organized and detail-oriented
* Ability to work in a fast paced, rapidly changing environment
* Requires the ability to exercise independent judgment and employ basic reasoning skills.
* Demonstrate high level of integrity and professionalism to handle sensitive and confidential information
* Ability to perform basic mathematical calculations
* Ability to work both independently and as part of a team

Preferred Qualifications
* Prior experience in medical billing
* Basic knowledge of pharmacy operations

* High school diploma or equivalent

Business Overview
It’s a new day in health care.

Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation’s premier health innovation company. Through our health services, insurance plans and community pharmacists, we’re pioneering a bold new approach to total health. As a CVS Health colleague, you’ll be at the center of it all.

We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.

CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. 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. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.

If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!