Revenue Cycle Coordinator (Biller)

CVS Health

3d • $17 - $34

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary As a Revenue Cycle Biller, you will play an integral role in delivering cost effective solutions for our patients by billing Home Infusion and DME claims and invoices to governmental and commercial insurance companies for reimbursement for our patients’ insurance claims. In this role, you will ensure timely and accurate review and claim submission on all patient accounts subject to medical policies, escalate billing issues to leadership, and maintain timely communication with internal departments and external pharmacies. You will interface with insurance companies via web portal to check claim statuses, as well as submit initial or secondary bills to insurance companies, while maintaining quality and productivity requirements. To be successful in this role, you will utilize home infusion software, payer portals, and other systems, in addition to your critical thinking skills, to ensure a high quality of work.

Requirements

• 2+ years of experience in revenue cycle operations (including billing, collections, credits, cash, etc.)
• 2+ years of experience in billing or collections for Home Infusion or Durable Medical Equipment (DME) claims.
• 2+ years of experience working with commercial insurance companies and/or governmental payers, including Medicare and Medicaid.
• High school diploma or GED.

Nice To Haves

• Strong attention to detail with a sense of urgency.
• Strong customer service skills.
• Ability to work in a team environment.
• Previous experience with healthcare billing and reimbursement systems, such as Epic, CPR+, and/or Caretend.

Responsibilities

• billing Home Infusion and DME claims and invoices to governmental and commercial insurance companies for reimbursement for our patients’ insurance claims
• ensure timely and accurate review and claim submission on all patient accounts subject to medical policies
• escalate billing issues to leadership
• maintain timely communication with internal departments and external pharmacies
• interface with insurance companies via web portal to check claim statuses
• submit initial or secondary bills to insurance companies
• maintaining quality and productivity requirements

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED