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Medical Collections Specialist

Company: CVS Pharmacy
Location: Tallahassee
Posted on: September 22, 2022

Job Description:

Job DescriptionJoin the Coram CVS/specialty infusion services team as a Reimbursement Specialist in a growing and challenging sector of healthcare, home infusion. Working for an industry leader and the largest home infusion organization you play an integral role in delivering cost effective solutions for our patients. Key responsibilities - Working off an aged trial balance to ensure a 30-day follow-up on all patient accounts. - Work with third party payers to ensure proper reimbursement on patient accounts, identifying and preparing adjustments and write-offs as appropriate. - Follow-up on daily correspondence (denials, low pays) to appropriately work patient accounts, interfacing with insurance companies via telephone to check claim status, written correspondence to payers and patients . - Interpret contracts with payers to ensure proper payment, sending initial or secondary bills to insurance companies. - Process refunds/reinstatements/ rejections of insurance claims, running reports on a weekly and monthly basis. In order to be successful in this role you will need to utilize the entire Microsoft Office Suite, specifically Excel, Outlook and Word and utilize your critical thinking skills to ensure a high quality of work. Some of our perks include -Flexible work schedule, choose the time you work your 8 hour day starting between 6:00am and 9:30am; ending your day by 6:00pm -Potential for growth opportunities -Retail store discounts -Comprehensive training program to help set you up for success We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a wide-ranging list of supplemental benefits and discount programs; in addition to paid days off and 10 paid holidays.Required Qualifications1+ years of experience in a professional environmentCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications-Home infusion or durable medical equipment (DME) experience-Strong attention to detail-Customer service skills-Ability to work in a team environment-Ability to work with a sense of urgency-Experience with medical billing or collections or experience with accounts payable (AP) or accounts receivable (AR)-Experience with Healthcare reimbursement systems-Experience in Microsoft Office, specifically Excel, Outlook and WordEducationVerifiable High School Diploma or GEDBusiness OverviewAt CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. 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.

Keywords: CVS Pharmacy, Tallahassee , Medical Collections Specialist, Healthcare , Tallahassee, Florida

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