CVS Health

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Pharmacy Billing Adjudicator

at CVS Health

Posted: 4/2/2020
Job Reference #: 1233237BR

Job Description

Job Description
Are you ready to have a career with a purpose? If so, we have a Pharmacy Billing Adjudicator position open in Vancouver who is responsible for preparing and submitting claims for accounts and working with nursing staff, physician offices and insurance companies to ensure timely payment of online submissions! Our facility is located at 6600 NE 112th Court, Vancouver, Washington 98662. The hours of this position are Monday - Friday 12:30 pm - 9:00 pm (weekends only as needed). Omnicare is a wholly owned subsidiary of CVS, Inc. which is a Fortune 8 company, employing over 295,000 associates. Omnicare is a national provider of long term care pharmacy services delivering more than 70 million prescriptions a year!
Key Responsibilities:
* Review and research rejected Third Party claims and take appropriate action to resolve
* Manage assigned queues keeping up-to-date and current on all claims
* Ensure workflow grid is cleared daily to meet productivity criteria
* Manage specific denials including new patient overrides
* Follow all applicable government regulation including HIPAA

Shift: Monday-Friday 12:30pm-9:00pm

Required Qualifications
* 6 months+ of experience in a role with increasing responsibility and requiring the use of a computer
* Must have beginner-moderate familiarity with Microsoft Excel and Access

Preferred Qualifications
* Pharmacy Technician certificate highly preferred
* Experience in pharmacy, managed care, Medicaid and/or Medicare organization
* OmniDX System Experience

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!