CVS Health has an exciting opportunity for you to join a growing team at our brand new Phoenix facility as an Accounts Receivable Specialist! You will sit on a dynamic team that supports our Infusion Services patients. This role is in an ever changing, energizing environment that provides you with the opportunity for learning new skills and continuing to grow your career.
In this role, you will support our Accounts Receivable (A/R) Department with various A/R functions for Specialty Infusion. You will handle the completion of Patient Financial Services (PFS) tasks, including patient and payer follow up as needed. The PFS tasks you will complete include billing and/or accounts receivable follow-up while maintaining quality
and productivity requirements. You will build and submit accurate and timely claims to payers, as well as research and analyze unpaid claims. You will be assisting in the resolution of denials, partial payments, and payment variances.
In the Accounts Receivable role you will:
Maintain and release all-ship-verified claims for all third party claim accounts within established time frame as assigned Resolve errors and make claim edits assigned in work queues Follow work list prioritization of accounts for resolving accounts and/or submitting claims Contact payers and patients when necessary for PFS processes Request relevant information from appropriate Revenue Cycle and clinical departments as required through the course of the PFS processes Make necessary adjustments to patient demographic, insurance, and account balance information Complete A/R adjustments and request other adjustments where permitted and appropriate Adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements), and leading practices
Minimum of 1 year of experience in the following:
Performing healthcare reimbursement, medical insurance billing/collects or related work
Working with Microsoft Office, specifically Excel, Outlook and Word
1 year of experience working within Healthcare Collection
Verifiable High School diploma or GED is required.
Coram CVS/specialty infusion services is a leading national provider of specialty home infusion and specialty pharmacy services. The integration of Coram into CVS Health enables the company to offer enhanced, comprehensive infusion services; expanded payer access; and a national network of more than 85 locations, including 65 ambulatory infusion suites. Providing infusion therapies and services to over 20,000 patients each month, Coram cares for patients through all phases of their healthcare continuum including clinical and compliance monitoring, and individual patient counseling. CVS Health, through our unmatched breadth of service offerings, is the nation’s largest pharmacy health care provider transforming the delivery of health care services in the U.S. Our energetic and service-oriented colleagues embrace fresh ideas, new perspectives, a diversity of experiences, and a dedication to service to meet the needs of the many people and businesses relying on us each day.
CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf and EEO IS THE LAW SUPPLEMENT at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking EEO AA CVS Health at mailto:EEO_AA@CVSHealth.com
CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.
For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/
Website : https://www.caremark.com
CVS Caremark (NYSE: CVS), headquartered in Woonsocket, RI, is the largest pharmacy health care provider in the United States with integrated offerings across the entire spectrum of pharmacy care. Through our unique suite of assets, we are reinventing pharmacy to offer innovative solutions that help people on their path to better health. We are focused on enhancing access to care, lowering overall health care costs for plan members and payors, and improving health outcomes.